Mario Renato Papa-Vettorazzi¹*, Claudia María Lopez-Villeda¹, José Benjamín Cruz-Rordriguez², Gladys Lucía Silva-Linares¹ and Mariano Yee-Melgar¹

¹Visualiza Clinic, 5ta av. 11-44 Zona 9, Guatemala, Guatemala
²University of California, San Diego, CA, USA

*Corresponding Author: Mario Renato Papa-Vettorazzi, Visualiza Clinic, 5ta av. 11-44 Zona 9, Guatemala, Guatemala.

Received: August 16, 2021; Published: December 14, 2021

Abstract

Purpose: To assess the short and long term effect of combined cataract and glaucoma surgery (Small Incision Cataract Surgery [SICS] plus cyclodialysis) in a low income population.

Study design: Retrospective.

Materials and methods: We performed a retrospective analysis of 355 SICS plus cyclodialysis procedures all performed by experienced surgeons. Evaluations at day one, 1 week, 1, 3, 6 and 12 months. At every visit, the evaluation included: intra ocular pressure (IOP) measurement, glaucoma medication requirements and corrected distance visual acuity (CDVA). We also evaluated complications and re interventions.

Results: The median preoperative IOP was 18 mmHg (15-24), it decreased to 12 mmHg (10-14) at the 7 days, 1, 3, 6 and 12 month assessments (p < 0.01). Mean number of glaucoma medications decreased from 1.55 preoperatively to 0.96 postoperatively (mean decrease 0.58, 95% CI-0.84 to -0.32, p < 0.01). At three months median CDVA improved from 0.69 logMar (0.47-1.8) (20/100 Snellen) to 0.3 logMar (0.17-0.51) (20/40 Snellen) (p < 0.01). Complication rate was 9%, the most frequent was posterior capsule rupture (PCR). Re intervention rate was 10% mostly because of not achieving IOP control.

Conclusions: Combining SICS plus cyclodialysis is effective, it shows a short and long term reduction in IOP, a decrease in glaucoma medication requirements and an improvement in CDVA all comparable to the reports of phacoemulsification plus trabeculectomy.

Keywords: Combined Surgery; Cyclodialysis; Glaucoma Surgery; SICS

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Citation

Citation: Mario Renato Papa-Vettorazzi., et al. “Results of Combined Small Incision Cataract Surgery and Cyclodialysis in Low Income Patients with Glaucoma and Cataract".Acta Scientific Ophthalmology 5.1 (2022): 04-12.

Copyright

Copyright: © 2022 Mario Renato Papa-Vettorazzi., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.