Comparative Analysis of Filtering Surgery Approaches in Non-Granulomatous Uveitic Glaucoma: Combined or Standalone?

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dc.contributor.authorErdogan, Hakıka
dc.contributor.authorSimsek, Tulay
dc.contributor.authorYildirim, Nilgun
dc.contributor.authorÖzer, Ahmet
dc.date.accessioned2026-02-03T11:50:10Z
dc.date.available2026-02-03T11:50:10Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjectives: 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.
dc.identifier.doi10.5798/dicletip.1840871
dc.identifier.endpage768
dc.identifier.issn1300-2945
dc.identifier.issn1308-9889
dc.identifier.issue4
dc.identifier.startpage755
dc.identifier.trdizinid1365567
dc.identifier.urihttps://doi.org/10.5798/dicletip.1840871
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1365567
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34006
dc.identifier.volume52
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofDicle Tıp Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR_20260130
dc.subjectTrabeculectomy
dc.subjectIntraocular pressure
dc.subjectSurgical outcome
dc.subjectPhacotrabeculectomy
dc.subjectUveitic glaucoma
dc.titleComparative Analysis of Filtering Surgery Approaches in Non-Granulomatous Uveitic Glaucoma: Combined or Standalone?
dc.typeArticle

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