Adel A Shalaby, Amr T El Ghoniemy, Abdallah A Nasr
Journal of the Egyptian Ophthalmological Society 2015 108(4):209-220
Purpose The aim of the present study was to draw a comparison between phacotrabeculectomy (PT) and goniosynechialysis in the management of primary angle-closure glaucoma (unresolved acute cases or chronic cases), regarding their efficacy, feasibility, results, and complications. Patients and methods In total, 48 eyes of 40 patients diagnosed with senile cataract and primary angle-closure glaucoma were divided into two equal groups. Group A underwent PT, whereas group B underwent phacogoniosynechialysis. Postoperative intraocular pressure (IOP) and best-corrected visual acuity were followed up for 6 months. Results By the end of the sixth month, complete success (IOP <21 mmHg without antiglaucoma therapy) was achieved in 80% cases in group A and 85% in group B. By the end of the sixth month, qualified or partial success (IOP <21 mmHg with antiglaucoma therapy) was achieved in 15% cases in both groups. Complications occurred in 45% of cases in group A, whereas complications occurred in 15% cases in group B. Conclusion Goniosynechialysis after phacoemulsification does not exceed conventional PT regarding IOP reduction and best-corrected visual acuity. However, the complication rate is lower in goniosynechialysis.
Journal of the Egyptian Ophthalmological Society 2015 108(4):209-220
Purpose The aim of the present study was to draw a comparison between phacotrabeculectomy (PT) and goniosynechialysis in the management of primary angle-closure glaucoma (unresolved acute cases or chronic cases), regarding their efficacy, feasibility, results, and complications. Patients and methods In total, 48 eyes of 40 patients diagnosed with senile cataract and primary angle-closure glaucoma were divided into two equal groups. Group A underwent PT, whereas group B underwent phacogoniosynechialysis. Postoperative intraocular pressure (IOP) and best-corrected visual acuity were followed up for 6 months. Results By the end of the sixth month, complete success (IOP <21 mmHg without antiglaucoma therapy) was achieved in 80% cases in group A and 85% in group B. By the end of the sixth month, qualified or partial success (IOP <21 mmHg with antiglaucoma therapy) was achieved in 15% cases in both groups. Complications occurred in 45% of cases in group A, whereas complications occurred in 15% cases in group B. Conclusion Goniosynechialysis after phacoemulsification does not exceed conventional PT regarding IOP reduction and best-corrected visual acuity. However, the complication rate is lower in goniosynechialysis.