A prospective, randomized comparative study on adult patients with synechial angle closure glaucoma.
Patients were randomized into two groups: group A : patients will undergo two site phacoemulfication combined with trabeculectomy Group B with Phacoemulsification combined with ab-externo trabeculotomy. Preoperative assessments including full ophthalmic examination, anterior segment Optical Coherence Tomography (OCT) of the angle , endothelial cell count , visual fiend Perimetry and Biometry. Patients were followed up: first day, first week and every two months for 6 month. We will compare adverse effects and outcomes in both groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
50
Patients with chronic angle closure glaucoma assigned to this group will have fornex based trabeculectomy at superior limbus and then phacoemulsification via temporal incision
Patients with chronic angle closure glaucoma assigned to this group will have Deep Sclerectomy with ab externo trabeculotomy at superior limbus and then phacoemulsification via temporal incision
Assiut University Hospital
Asyut, Egypt
Absolute Success
Reduction of IOP more than 30% on no glaucoma drops
Time frame: 1,3,6 months
Visual outcome
Uncorrected visual acuity by Snellen's chart
Time frame: 1,3,6 month
Adverse events
all intraoperative and postoperative adverse events witt be recorded
Time frame: 1 week, 1 month, 3 months, 6 months
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