1. Mid-term evaluation of the new Glaukos iStent with phacoemulsification in coexistent open-angle glaucoma or ocular hypertension and cataract.
- Author
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Arriola-Villalobos P, Martínez-de-la-Casa JM, Díaz-Valle D, García-Vidal SE, Fernández-Pérez C, García-Sánchez J, and García-Feijoó J
- Subjects
- Aged, Aged, 80 and over, Antihypertensive Agents administration & dosage, Female, Follow-Up Studies, Glaucoma, Open-Angle complications, Glaucoma, Open-Angle physiopathology, Humans, Intraocular Pressure physiology, Male, Middle Aged, Ocular Hypertension complications, Ocular Hypertension physiopathology, Prospective Studies, Visual Acuity physiology, Cataract complications, Glaucoma Drainage Implants, Glaucoma, Open-Angle surgery, Ocular Hypertension surgery, Phacoemulsification
- Abstract
Aims: To evaluate the mid-term efficacy and safety of the GTS-400-iStent combined with phacoemulsification in patients with cataract and open-angle glaucoma (OAG) or ocular hypertension (OHT)., Methods: Prospective, non-comparative, uncontrolled, interventional case series study. Subjects underwent phacoemulsification and two GTS-400 implantation. Efficacy outcomes: intraocular pressure (IOP) and antiglaucoma medications. Safety outcomes: complications, best-corrected visual acuity and endothelial cell count (ECC). Follow-up was 1 year., Results: 20 patients were enrolled (mean age: 75.1 ± 8.6 years). Mean medicated baseline IOP was 19.95 ± 3.71 mm Hg and 26 ± 3.11 mm Hg without medication. Mean final IOP was 16.75 ± 2.24, determining a final IOP decrease of 35.68% (9.42 ± 3 mm Hg; p<0.001), from baseline washout IOP. Mean number of medications fell from 1.3 ± 0.66 to 0.3 ± 0.57 (P<0.001). 75% of patients were off medications at one year. Mean ECC decreased from 2289.64 ± 393.5 cells/mm(2) to 1986.95 ± 520.58 cells/mm(2)., Conclusions: Combined cataract surgery with implantation of GTS-400-iStent seems to be an effective and safe procedure.
- Published
- 2013
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