DR. RAKHI P DCRUZ

Abstract

Lens play a major role in the pathogenesis of pseudoexfoliation glaucoma(XFG) similar to angle closure glaucoma(PACG), so this study aims at comparing the long term surgical outcomes of cataract surgery alone versus combined surgery in XFG. Our study revealed that cataract surgery alone can be as effective as combined surgery in XFG eyes with mild-moderate damage.Methods-All patients with XFG who underwent either cataract surgery alone (group1-either phacoemulsification-PHACO/SICS, n=35) or combined surgery (Group 2-phacotrabeculectomy, PHACOT or SICS +trabeculectomy,n=47) from 2013 2019 by a single trained surgeon, were screened and recalled for a detailed clinical examination, including Humphrey visual field analyzer at 3 monthly intervals for a minimum of 2 years

Results-A total of 81 eyes of 67 patients with XFG were included in this study.(group1-35eyes and group2-46 eyes each).Both groups achieved 26-40% IOP reduction from pre-operative IOP levels, p<0.001.