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مقاله
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Abstract
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Title:
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Results and Complications of phacotrabeculectomy with releasable suture and antimetabolite drug in patients with glaucoma and cataract
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Author(s):
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Ali Sharifi MD,Kazemipoor Azadeh, Hamid Sharifi
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Presentation Type:
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Oral
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Subject:
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Glaucoma
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Others:
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Presenting Author:
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Name:
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Ali Sharifi
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Affiliation :(optional)
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Kerman University of Medical Sciences
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E mail:
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a_sharifi@kmu.ac.ir
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Phone:
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034-32131416
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Mobile:
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09133414005
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Purpose:
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To evaluate the results of phacotrabeculectomy with releasable suture in patients with glaucoma and cataract in Shafa Medical Center of Kerman
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Methods:
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In a longitudinal study 36 eyes were evaluated . Phacotrabeculectomy wasdone because of uncontrolled IOP or nonreliable patient for medical therapy and significant cataract, or low VAdue to cataract and simultaneous glaucoma.
Trabeculectomy was done with releasable sutures+Mithomycin-C.patients were examined in postoperative days 1, 2, 3, 5, 7, 14, 21 and 30.then examination was every 2-4 weeks until 3 months and then every 3 months.
Releasable suture was removed in first 3 weeks if IOP more than 12mmHg.
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Results:
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The age was 22-82(66.6±11.9)years. Follow up was 16.63±12.27 months.
Preoperative IOP was 12-52 (28.38 ±9.36)mmHg. Postoperative IOP was 5-22(12.05±3.96)mmHg (P<0.0001).
Preoperatively patients used 2-4(2.58±0.09) drugs, postoperatively they necessitate 0-2 (0.58±0.15) drugs.(P<0.0001).
11 eyes (30.55%) had early postoperative complications: flatAC , POU, leakage, choroidal effusion and vitreous incarceration.
After surgery IOP lower than 21mmHg was seen in 35 eyes (97.22%), under 16 mmHg in 31 eyes (86.11%) and under 12mmHg in 21 eyes (58.33%).
Procedures following phacotrabeculectomy were subconjuctival 5FU in 3, AC formation in 2, resuturing 2, choroidal tap in 1.
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Conclusion:
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phactrabeculectomy with releasable suture is effective and safe procedure for coexistant glaucoma and cataract.
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Attachment:
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