To compare 1-site and 2-site combined phacoemulsitication with foldable intraocular lens (IOL) implantation and trabeculectomy
El-Maghraby Eye Hospital, Jeddah, Saudi Arabia.
Seventy-six eyes with coexisting cataract and glaucoma were randomwith phacoemulsification and foldable IOL implantation through the same (1-site group) or a separate; temporal clear corneal incision (2-site group) Postoperative evaluation included visual acuity, intraocular pressure, (IOL bleb) assessment, and number of antiglaucoma medications. Follow-up 12 to 18 months.
Mean preoperative IOP was 28.1 mm Hg ± 7.1 (SD) in the 2-site group and 26.2 ± 6.5 mm Hg in the 1-site group. At 6 months postoperatively mean IOP was 16.9 ± 4.3 and 16.8 ± 3.8 mm Hg, respectively (P
= () and at 12 months, 3.3 and 19.1 ± 3.1 mm Hg, respectively (P
= 044). Twenty-three of 39 eyes in the 2-site group and 14 of 37 (38%) in the T-site group had clinically apparent filtering blebs at 12 months (P
= .065). Postoperative astigmatic change and complications were comparable.
Mitomycin-C trabeculectomy superiorly combined with separate temporalclear corneal phacoemulsification provided 1 year IOP control comparable to that with single-incision (1-site) combined cataract and glaucoma surgery.