Trabectome, trabecular aspiration and phacoemulsification in a triple procedure for treating exfoliation glaucoma: A long-term follow-up

European Journal of Ophthalmology, vol. 31, pp. 2432–2438

Abstract

PURPOSE: This study investigates the long-term intraocular pressure (IOP) lowering potential, risk profile and success rate of a triple procedure comprising phacoemulsification, trabecular aspiration and trabectome (Microsurgical Technology, Redmond, WA, USA) for treating exfoliation glaucoma. METHODS: A total of 117 eyes of 117 patients with exfoliation glaucoma underwent a combination of phacoemulsification, trabectome and trabecular aspiration. They were followed up for up to 7 years. The success rates were designated according to criteria based on the Tube versus Trabeculectomy Study and the World Glaucoma Association guidelines: A (no resurgery); B/C (IOP < 21/18 mmHg, no resurgery, IOP reduction > 20%); D (IOP ⩽ 15 mmHg, no resurgery, IOP reduction ⩾ 40%). RESULTS: < 0.0001) was observed, and the success rates were 91, 91, 82 and 59% for criteria A, B, C and D, respectively. DISCUSSION: We conclude that the triple procedure may effectively lower IOP in patients with exfoliation glaucoma over a mean follow-up period of 46 months without significant side effects. Therefore, the triple procedure may serve as first-line surgery for patients with exfoliation and cataract, even with a high initial IOP.

Authors 8

1. Randolf Alexander Widder corresponding

   University of Cologne

   Affiliation as printed

   St. Martinus-Krankenhaus, Düsseldorf, Germany

   University Cologne, Köln, Germany

2. Matthias Hild
   Affiliation as printed

   St. Martinus-Krankenhaus, Düsseldorf, Germany

3. Thomas Stefan Dietlein

   University of Cologne

   Affiliation as printed

   University Cologne, Köln, Germany

4. Pia Kühnrich
   Affiliation as printed

   St. Martinus-Krankenhaus, Düsseldorf, Germany

5. Corinna Rennings
   Affiliation as printed

   St. Martinus-Krankenhaus, Düsseldorf, Germany

6. Alexander Szumniak
   Affiliation as printed

   St. Martinus-Krankenhaus, Düsseldorf, Germany

7. Alexandra Lappas

   University of Cologne

   Affiliation as printed

   University Cologne, Köln, Germany

8. Gernot Franz Roessler Aachen

   RWTH Aachen University

   Affiliation as printed

   RWTH Aachen, Aachen, Germany

   St. Martinus-Krankenhaus, Düsseldorf, Germany