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J Cataract Refract Surg. 2018 Aug;44(8):964-970. doi: 10.1016/j.jcrs.2018.05.019.

Long-term comparison of postoperative refractive outcomes between phacotrabeculectomy and phacoemulsification.

Author information

1
From the Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Seoul, South Korea.
2
From the Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Seoul, South Korea. Electronic address: demian7435@gmail.com.

Abstract

PURPOSE:

To compare long-term postoperative refractive outcomes between phacotrabeculectomy and phacoemulsification, both with posterior chamber intraocular lens implantation.

SETTING:

Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Seoul, South Korea.

DESIGN:

Retrospective comparative study.

METHODS:

Postoperative refractive outcomes were compared between patients with cataract and coexisting primary or secondary open-angle glaucoma (OAG) who had phacotrabeculectomy (combined group) and patients with cataract with or without coexisting OAG who had phacoemulsification alone (phaco-only group). The refractive prediction error, mean absolute error, and median absolute error were compared between groups. Subgroup analysis based on preoperative axial length (AL) was performed (medium >22.0 to <24.5 mm; medium-long ≥24.5 to <26.0 mm; long ≥26.0 mm).

RESULTS:

The combined group comprised 51 eyes and the phaco-only group, 74 eyes. The mean interval between surgery and refraction measurement was 14.70 months ± 10.80 (SD) (median 13.0 months) and 4.81 ± 4.97 months (median 2.0 months), respectively. Postoperatively, there was no statistically significant between-group difference in the following mean values: refractive prediction error, -0.05 ± 0.64 versus -0.04 ± 0.52 (P = .905); mean absolute error, 0.46 ± 0.44 versus 0.38 ± 0.36 (P = .258); median absolute error, 0.32 (interquartile range [IQR], 0.17, 0.67) versus 0.28 (IQR, 0.13, 0.54) (P = .297). Subgroup analysis also did not show significant differences between the 2 groups (all P > .05).

CONCLUSION:

The long-term postoperative refractive outcomes of phacotrabeculectomy and phacoemulsification alone were not significantly different in eyes with OAG, regardless of preoperative AL.

PMID:
30115297
DOI:
10.1016/j.jcrs.2018.05.019

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