Acta Scientific Ophthalmology (ISSN: 2582-3191)

Research Article Volume 5 Issue 1

Results of Combined Small Incision Cataract Surgery and Cyclodialysis in Low Income Patients with Glaucoma and Cataract

Mario Renato Papa-Vettorazzi1*, Claudia María Lopez-Villeda1, José Benjamín Cruz-Rordriguez2, Gladys Lucía Silva-Linares1 and Mariano Yee-Melgar1

1Visualiza Clinic, 5ta av. 11-44 Zona 9, Guatemala, Guatemala
2University of California, San Diego, CA, USA

*Corresponding Author: Mario Renato Papa-Vettorazzi, Visualiza Clinic, 5ta av. 11-44 Zona 9, Guatemala, Guatemala.

Received: August 16, 2021; Published: December 14, 2021

Abstract

Purpose: To assess the short and long term effect of combined cataract and glaucoma surgery (Small Incision Cataract Surgery [SICS] plus cyclodialysis) in a low income population.

Study design: Retrospective.

Materials and methods: We performed a retrospective analysis of 355 SICS plus cyclodialysis procedures all performed by experienced surgeons. Evaluations at day one, 1 week, 1, 3, 6 and 12 months. At every visit, the evaluation included: intra ocular pressure (IOP) measurement, glaucoma medication requirements and corrected distance visual acuity (CDVA). We also evaluated complications and re interventions.

Results: The median preoperative IOP was 18 mmHg (15-24), it decreased to 12 mmHg (10-14) at the 7 days, 1, 3, 6 and 12 month assessments (p < 0.01). Mean number of glaucoma medications decreased from 1.55 preoperatively to 0.96 postoperatively (mean decrease 0.58, 95% CI-0.84 to -0.32, p < 0.01). At three months median CDVA improved from 0.69 logMar (0.47-1.8) (20/100 Snellen) to 0.3 logMar (0.17-0.51) (20/40 Snellen) (p < 0.01). Complication rate was 9%, the most frequent was posterior capsule rupture (PCR). Re intervention rate was 10% mostly because of not achieving IOP control.

Conclusions: Combining SICS plus cyclodialysis is effective, it shows a short and long term reduction in IOP, a decrease in glaucoma medication requirements and an improvement in CDVA all comparable to the reports of phacoemulsification plus trabeculectomy.

Keywords: Combined Surgery; Cyclodialysis; Glaucoma Surgery; SICS

References

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Citation

Citation: Mario Renato Papa-Vettorazzi., et al. “Results of Combined Small Incision Cataract Surgery and Cyclodialysis in Low Income Patients with Glaucoma and Cataract".Acta Scientific Ophthalmology 5.1 (2022): 04-12.

Copyright

Copyright: © 2022 Mario Renato Papa-Vettorazzi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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