Journal of AdvancedMedical and Dental Sciences Research

Background: Primary angle-closure glaucoma, often referred to as simply angle-closure glaucoma, is a type of glaucoma, a group of eye diseases that can lead to progressive vision loss and blindness. The present study compared efficacy of single-sitephacotrabeculectomy and conventional combined surgery in primary open-angle glaucoma and cataract patients. Materials & Methods: 70 patients with primary open-angle glaucoma with coexisting cataract were divided into 2 groups of 35 each. Group I underwent single-sitephacotrabeculectomy and group II patients were subjected to combined extracapsular lens extraction with trabeculectomy. Post-operative complications were recorded in both groups. Results: Group I had 20 males and 15 females and group II had 18 males and 17 females. There was a progressive change of visual fields and fundus status of 1 patient in group I at 4 weeks, 3 in group I and 1 in group II at 1 month, 4 in group I and 3 in group II at 6 months and 5 in group I and 4 in group II at 1 year. The difference was non-significant (P> 0.05). Post-operative complications were uveitis seen in 1 in group I and 2 in group II, uncontrolled glaucoma 3 in group I and 2 in group II, and posterior capsule opacification 2 in group I and 1 in group II, hyphaema1 in group I and 2 in group II, shallow AC 2 in group I and 1 in group II, and significant striate2 in group I and 1 in group II. The difference was non-significant (P> 0.05). Conclusion: Authors found that in patients with primary open angle glaucoma and cataracts, phacotrabeculectomy alone is more advantageous than standard combination surgery.