Influence of prostaglandin analogue on outcome after combined cataract surgery and trabecular aspiration in pseudoexfoliative glaucoma

Eur J Ophthalmol 2013; 23(6): 814 - 818

Article Type: ORIGINAL ARTICLE

DOI:10.5301/ejo.5000311

Authors

Johannes Gonnermann, Matthias K. J. Klamann, Anna-Karina B. Maier, Necip Torun, Peter C Ruokonen, Eckart Bertelmann

Abstract

Purpose: The aim of this study was to analyze the postoperative outcome and risk profile after combined clear cornea phacoemulsification and trabecular aspiration in the treatment of pseudoexfoliative glaucoma (PEX) associated with cataract. 
Methods: In this retrospective study, 69 eyes of 60 patients with visually significant cataract and PEX were treated with small-incision cataract surgery combined with trabecular aspiration. The intraocular pressure (IOP), number of antiglaucoma eyedrops before and after surgery, as well as complications were measured at all postoperative visits (1 day, 7 days, 6 weeks, 6 months, 12 months). 
Results: There was a statistically significant decrease in postoperative IOP during the follow-up 
period. There was no significant difference in the number of medications being used after 6 weeks follow-up. Six months and 12 months after surgery, the number of antiglaucoma eyedrops decreased significantly. Complications were fibrinotic iritis in 4 eyes (5.9%), cystoid macular edema in 3 eyes (4.4%), and hyphema in 1 eye (1.4%). Fibrinotic iritis and macular edema were present in only 37 of 
69 eyes that were treated with prostaglandin analogues.
Conclusions: Small-incision cataract surgery combined with trabecular aspiration in cases of PEX associated with cataract is effective in IOP reduction over a 1-year follow-up. Prostaglandin analogues may increase the risk of postoperative macular edema and fibrinotic iritis. Preoperative medication exchange may be considered.

Article History

This article is available as full text PDF.

  • If you are a Subscriber, please log in now.

  • If you are not a Subscriber you may:
  • Subscribe to this journal

    Unlimited access to all our archives, 24 hour a day, every day of the week.

    Article price: Eur 36.00

    You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under "My PayPerView". You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal.

  • Claim online access

    If you hold a Society membership and you have never accessed the website claim online access to receive your log in credentials

This article has supplementary materials available to download.

  • If you are a Subscriber, please log in now.

  • If you are not a Subscriber you may:
  • Subscribe to this journal

    Unlimited access to all our archives, 24 hour a day, every day of the week.

    Article price: Eur 36.00

    You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under "My PayPerView". You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal.

  • Claim online access

    If you hold a Society membership and you have never accessed the website claim online access to receive your log in credentials

Authors

  • Gonnermann, Johannes [PubMed] [Google Scholar]
    Department of Ophthalmology, Charité, University Medicine Berlin, Berlin - Germany
  • Klamann, Matthias K. J. [PubMed] [Google Scholar]
    Department of Ophthalmology, Charité, University Medicine Berlin, Berlin - Germany
  • Maier, Anna-Karina B. [PubMed] [Google Scholar]
    Department of Ophthalmology, Charité, University Medicine Berlin, Berlin - Germany
  • Torun, Necip [PubMed] [Google Scholar]
    Department of Ophthalmology, Charité, University Medicine Berlin, Berlin - Germany
  • Ruokonen, Peter C [PubMed] [Google Scholar]
    Department of Ophthalmology, Charité, University Medicine Berlin, Berlin - Germany
  • Bertelmann, Eckart [PubMed] [Google Scholar]
    Department of Ophthalmology, Charité, University Medicine Berlin, Berlin - Germany

Article usage statistics

The blue line displays unique views in the time frame indicated.
The yellow line displays unique downloads.
Views and downloads are counted only once per session.