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    Comparative Analysis of Filtering Surgery Approaches in Non-Granulomatous Uveitic Glaucoma: Combined or Standalone?
    (2025) Erdogan, Hakıka; Simsek, Tulay; Yildirim, Nilgun; Özer, Ahmet
    Objectives: To compare the 36-month outcomes of trabeculectomy alone versus combined phacotrabeculectomy in patients with non-granulomatous uveitic glaucoma (UG), focusing on intraocular pressure (IOP) control, surgical success, and postoperative intervention requirements. Methods: In this retrospective cohort study, 62 eyes with medically uncontrolled non-granulomatous UG were included. Patients were divided into two groups: Group 1 underwent combined phacoemulsification and trabeculectomy, while Group 2 underwent trabeculectomy alone. Preoperative and postoperative IOP measurements were evaluated over 36 months. Surgical success was defined as IOP between 5 and 21 mmHg, without additional glaucoma procedures or significant vision loss. Postoperative complications, medication requirements, and needling rates were also assessed. Results: The mean follow-up period was 36 months. The cumulative surgical success rate was higher in the combined group (88.2%) than in the trabeculectomy-alone group (71.1%), although the difference was not statistically significant (p > 0.05). Needling was significantly more frequent in Group 2 (p < 0.05), and more patients in Group 2 required antiglaucomatous medications postoperatively. No significant differences in complication rates or visual outcomes were observed between the groups. Conclusion: Both surgical approaches provide effective IOP control in uveitic glaucoma; however, combined surgery may result in fewer postoperative interventions and a trend toward improved 36-month surgical success. Careful patient selection and inflammation control remain crucial in optimizing outcomes.
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    Öğe
    Results of phaco surgery on the success of trabeculectomy in primary open-angle glaucoma patients with or without pseudoexfoliation
    (2025) Erdogan, Hakıka; Foroughifar, Shirin; Simsek, Tulay; Yildirim, Nilgun; Ozer, Ahmet
    Introduction: This study investigated whether trabeculectomy and phacoemulsification surgeries should be performed together or separately, focusing on how the timing and presence of phacoemulsification affect trabeculectomy success in open-angle glaucoma (OAG) patients, both with and without pseudoexfoliation (PEX). Methods: Patients were categorized into three groups: Group 1 underwent combined surgery, Group 2 had trabeculectomy alone, and Group 3 received phacoemulsification and trabeculectomy at separate times. Surgical success was defined as complete if IOP was 5–21 mmHg without medication, and partial if within the same range with medication. Results: The complete success rates for Groups 1, 2, and 3 were 38 (60.3%), 87 (58.4%), and 34 (49.3%), respectively, while partial success rates were 21 (33.3%), 29 (19.5%), and 17 (24.6%), respectively. Group 1 showed the highest overall success rate. The presence of PEX did not impact the success rates. Higher success was observed in patients with lower IOP both before and after surgery, whereas success rates were lower in groups that required needling. The presence of complications did not affect the success rates. Factors such as patient age, gender, type of surgery, number of preoperative medications, complications, and PEX status were not found to be associated with either complete or partial success during the follow-up period. Conclusions: Phacotrabeculectomy has been shown to achieve similar success rates to trabeculectomy, with the added benefit of allowing for earlier visual recovery.