Longterm results of one-site phacotrabeculectomy

Abstract

Purpose: To evaluate results of one-site phacotrabeculectomy and intraocular lens (IOL) implantation. Methods: A retrospective study of a consecutive series of 62 eyes with cataract and glaucoma, which underwent primary one-site phacotrabeculectomy with IOL implantation. Mean follow-up time was 28 ± 12.3 months (range 12-46 months). Results: Preoperative mean intraocular pressure (IOP) (25.1 ± 8.6 mmHg) dropped significantly, to 16.4 ± 1.3 mmHg 1 year after surgery (p < 0.01). Mean logMAR best corrected visual acuity (VA) improved significantly from 0.74 ± 0.49 to 0.22 ± 0.28 (p < 0.01). The most common complications were fibrinous exudation (10%) and choroidal detachment (6%). In two eyes (3%) we successfully performed scleral flap revision to achieve IOP control. Conclusion: One-site combined surgery was a safe and effective procedure with good IOP control and visual rehabilitation.