Outcomes Of Sutureless Phacotrabeculectomy In Patients Of Combined Cataract And Glaucoma.

Background:-The association of glaucoma with cataracts has become more frequent because of increase in life expectancy and the increased risk of cataract development in the patients with glaucoma. For this reason, and to reduce the trauma and the time taken for patient rehabilitation, the prevailing trend is to perform a combined procedure, taking care of both pathologies simultaneously. Material and Methods:-The present prospective study was conducted in the Postgraduate Department of Ophthalmology SKIMS Medical College Bemina in 51 patients from October 2016 to April 2018. All patients underwent sutureless phacotrabeculectomy (Sheikh's Technique). Postoperative evaluation was done on the first postoperative day and thereafter at 1 week, 4 weeks, 2 months and 6 months. Results:-Mean age of the patients was 60.04 ±9.6 years. 50% of patients were in age group 60-70 years. The postoperative mean intraocular pressure (mmHg) was 13.67±5.28 mmHg at 1 week, 14.41 ± 4.68 mmHg at 1 month, 14.53 ±5.52 mmHg at 2 months, and 14.71 ±4.1 mmHg at 6 months At the 6th month follow up visit, the mean number of antiglaucoma medications per treated eye was 0.14± 0.52 which was a significant decrease from pre-op number (2.94±0.61). In terms of snellen BCVA, most of the patients (80%) had a visual acuity of 6/18 or better at 6 month follow-up in the operated eye. Conclusion:-suturelessphacotrabeculectomy is a safe and effective option in the management of cataract associated with glaucoma. [ABSTRACT FROM AUTHOR]