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New superior modified fornix-based twin-site phacotrabeculectomy.

ABSTRACT: Phacotrabeculectomy is the preferred surgical management of coexisting visually significant cataract and moderate to advanced glaucoma. We report the surgical technique of a new modified fornix-based separate-site phacotrabeculectomy, with mitomycin C (MMC) application, in both primary open angle and angle closure glaucoma. In this new separate-site technique, both phaco and filtration are accommodated superiorly, side by side, hence called twin-site. This was achieved in an efficacious and safe manner with sparing of limbal stem cells without compromising safety. It is not only MMC-compatible but also has a low incidence of wound leak. The technique has no adverse consequence on the survival of the bleb, and we achieved complete success in 79.2% and total success in 93.1% in 130 eyes of 117 patients, in the intermediate term. Furthermore, the time taken for this separate-site surgical technique is comparable to published one-site procedures.

SUBMITTER: Pathak Ray V

PROVIDER: S-EPMC6836580 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature

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New superior modified fornix-based twin-site phacotrabeculectomy.

Pathak Ray Vanita V Chaironika Nur N Gupta Supriya S Choudhari Nikhil S NS

Indian journal of ophthalmology 20191101 11

Phacotrabeculectomy is the preferred surgical management of coexisting visually significant cataract and moderate to advanced glaucoma. We report the surgical technique of a new modified fornix-based separate-site phacotrabeculectomy, with mitomycin C (MMC) application, in both primary open angle and angle closure glaucoma. In this new separate-site technique, both phaco and filtration are accommodated superiorly, side by side, hence called twin-site. This was achieved in an efficacious and safe ...[more]

PMID: 31638052

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