Phaco-trabectome versus phaco-iStent in patients with open-angle glaucoma

Khaliq Kurji, Christopher J. Rudnisky, Jaspreet S. Rayat, Sourabh Arora, Simrenjeet Sandhu, Karim F. Damji, Michael W. Dorey

Research output: Contribution to journalArticlepeer-review

25 Citations (Scopus)

Abstract

Objective To investigate efficacy and safety of phaco-trabectome (PT) versus phaco-iStent (Pi) for intraocular pressure (IOP) control in open-angle glaucoma (OAG). Design Retrospective comparative case series. Participants A total of 70 eyes of 55 patients with OAG underwent either PT surgery by a single surgeon or Pi (insertion of 2 stents) by another surgeon in Canada between January 2010 and December 2012. Methods The medical records of consecutive adult patients who underwent either PT or Pi surgery were reviewed. All patients who satisfied both the inclusion and exclusion criteria were included in the outcomes analyses. IOP reduction, reduction in glaucoma medication, safety profile, and best-corrected visual acuity were evaluated. Results Thirty-six eyes of 30 patients had PT and 34 eyes of 25 patients had Pi. Baseline IOP was higher in the PT group (20.92 ± 5.07 mm Hg) than in the Pi group (17.47 ± 4.87 mm Hg; p = 0.026). At 12 months there was no significant difference between groups in relative reduction of mean IOP (PT −5.09 ± 5.73, 24% relative reduction vs. Pi −3.84 ± 3.80, 22% relative reduction; p = 0.331) or glaucoma medication use (PT −0.49 ± 1.17 vs. Pi −0.26 ± 0.73; p = 0.168) from baseline. However, Pi had significantly fewer individual complications (PT 20 vs. Pi 5; p < 0.0001) throughout the postoperative period. Conclusion At 12 months of follow-up, both techniques significantly lowered IOP, but fewer complications were observed in the Pi group.

Original languageEnglish
Pages (from-to)99-106
Number of pages8
JournalCanadian Journal of Ophthalmology
Volume52
Issue number1
DOIs
Publication statusPublished - 1 Feb 2017
Externally publishedYes

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