Universität zu Köln

Widder, Randolf A., Dinslage, Sven, Rosentreter, Andre, Jordan, Jens F., Kuehnrich, Pia, Cursiefen, Claus, Lemmen, Klaus-Dieter and Dietlein, Thomas S. (2014). A new surgical triple procedure in pseudoexfoliation glaucoma using cataract surgery, Trabectome, and trabecular aspiration. Graefes Arch. Clin. Exp. Ophthalmol., 252 (12). S. 1971 - 1976. NEW YORK: SPRINGER. ISSN 1435-702X

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Abstract

To evaluate the potential of lowering intraocular pressure in pseudoexfoliation glaucoma with combined phacoemulsification, Trabectome, and trabecular aspiration (triple procedure) compared to phacoemulsification and trabecular aspiration alone. Using a case-matched retrospective study design, 30 patients were included into each group. The main outcome measures were the reduction of intraocular pressure and medication score at the end of follow-up. Clinical data were collected from the patients' medical records. Mean follow-up was 15 months in both groups. Intraocular pressure decreased from 25.3 +/- 6.3 mmHg to 14.4 +/- 3.7 mmHg (p < 0.0001) in the triple procedure group and from 25.3 +/- 4.2 mmHg to 18.1 +/- 4.2 mmHg (p < 0.0001) in the control group. The medication score was lowered from 3.4 +/- 1.7 to 2.1 +/- 1.2 (p = 0.0017) in the triple procedure group and from 3.8 +/- 1.8 to 2.3 +/- 1.5 (p < 0.008) in the control group. The reduction of intraocular pressure was higher (p < 0.004) in the triple procedure group (38.4 +/- 17.3 %) compared to the control group (26.8 +/- 19.6 %) The reduction of the medication score did not differ significantly. The triple procedure is more effective in lowering intraocular pressure compared to phacoemulsification and trabecular aspiration alone in pseudoexfoliation glaucoma.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Widder, Randolf A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Dinslage, Sven UNSPECIFIED UNSPECIFIED UNSPECIFIED Rosentreter, Andre UNSPECIFIED UNSPECIFIED UNSPECIFIED Jordan, Jens F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuehnrich, Pia UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, Claus UNSPECIFIED UNSPECIFIED UNSPECIFIED Lemmen, Klaus-Dieter UNSPECIFIED UNSPECIFIED UNSPECIFIED Dietlein, Thomas S. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-422499
DOI:	10.1007/s00417-014-2795-z
Journal or Publication Title:	Graefes Arch. Clin. Exp. Ophthalmol.
Volume:	252
Number:	12
Page Range:	S. 1971 - 1976
Date:	2014
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-702X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language OPEN-ANGLE GLAUCOMA; CLEAR CORNEA PHACOEMULSIFICATION; AB INTERNO TRABECULECTOMY; INTRAOCULAR-PRESSURE; EXFOLIATION; PROGNOSIS; OUTCOMES Multiple languages Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42249