Daniela Alvarez-Ascencio1, Gabriel Lazcano-Gomez1, Malik Y Kahook2. 1. Department of Glaucoma, Asociación Para Evitar la Ceguera en México (APEC), Mexico City 04030, Mexico. 2. Department of Ophthalmology, University of Colorado School of Medicine, Aurora, Colorado 80145, United States.
Abstract
AIM: To report the long-term outcomes of combined excisional goniotomy and manual small incision cataract surgery (MSICS). METHODS: This is a retrospective case series of patients with open angle glaucoma and visually significant cataracts that underwent combined excisional goniotomy and MSICS with one-year follow-up. The medical history, demographic information, and clinical characteristics of each case were recorded. Data regarding changes in vision, intraocular pressure (IOP), the number of glaucoma medications, and the evolution of the disease after surgery were reported. RESULTS: Three patients, with open angle glaucoma and cataracts underwent combined excisional goniotomy and MSICS without adverse events. All patients had improvement in vision compared to baseline measurements. The range of IOP at baseline was from 14 to 18 mm Hg and decrease to a range of 10 to 14 mm Hg after one year of follow-up. Additionally, two patients also decreased their dependence on IOP-lowering medications at the last follow up visit with one patient maintaining baseline level of medication use. CONCLUSION: A combination of excisional goniotomy and MSICS illustrates both the safety and efficacy to treat patients with visually significant cataract and glaucoma. This procedure allows for a more cost-effective surgical approach that matches the needs of resource strained territories around the globe. International Journal of Ophthalmology Press.
AIM: To report the long-term outcomes of combined excisional goniotomy and manual small incision cataract surgery (MSICS). METHODS: This is a retrospective case series of patients with open angle glaucoma and visually significant cataracts that underwent combined excisional goniotomy and MSICS with one-year follow-up. The medical history, demographic information, and clinical characteristics of each case were recorded. Data regarding changes in vision, intraocular pressure (IOP), the number of glaucoma medications, and the evolution of the disease after surgery were reported. RESULTS: Three patients, with open angle glaucoma and cataracts underwent combined excisional goniotomy and MSICS without adverse events. All patients had improvement in vision compared to baseline measurements. The range of IOP at baseline was from 14 to 18 mm Hg and decrease to a range of 10 to 14 mm Hg after one year of follow-up. Additionally, two patients also decreased their dependence on IOP-lowering medications at the last follow up visit with one patient maintaining baseline level of medication use. CONCLUSION: A combination of excisional goniotomy and MSICS illustrates both the safety and efficacy to treat patients with visually significant cataract and glaucoma. This procedure allows for a more cost-effective surgical approach that matches the needs of resource strained territories around the globe. International Journal of Ophthalmology Press.
Entities:
Keywords:
Kahook Dual Blade; excisional goniotomy; manual small incision cataract surgery; microincisional glaucoma surgery
Authors: Suzanne Falkenberry; Inder Paul Singh; Charles J Crane; Mohammed Ali Haider; Michael G Morgan; Christopher P Grenier; Jacob W Brubaker; Goundappa K Balasubramani; Syril Dorairaj Journal: J Cataract Refract Surg Date: 2020-08 Impact factor: 3.351
Authors: Syril K Dorairaj; Leonard K Seibold; Nathan M Radcliffe; Ahmad A Aref; Jesús Jimenez-Román; Gabriel S Lazcano-Gomez; Jason K Darlington; Kaweh Mansouri; John P Berdahl Journal: Adv Ther Date: 2018-08-04 Impact factor: 3.845