Results of phaco surgery on the success of trabeculectomy in primary open-angle glaucoma patients with or without pseudoexfoliation

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dc.contributor.authorErdogan, Hakıka
dc.contributor.authorForoughifar, Shirin
dc.contributor.authorSimsek, Tulay
dc.contributor.authorYildirim, Nilgun
dc.contributor.authorOzer, Ahmet
dc.date.accessioned2026-02-03T11:50:14Z
dc.date.available2026-02-03T11:50:14Z
dc.date.issued2025
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractIntroduction: 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.
dc.identifier.doi10.37844/TJ-CEO.2025.20.27
dc.identifier.endpage211
dc.identifier.issn3023-7505
dc.identifier.issue3
dc.identifier.startpage200
dc.identifier.trdizinid1351392
dc.identifier.urihttps://doi.org/10.37844/TJ-CEO.2025.20.27
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1351392
dc.identifier.urihttps://hdl.handle.net/20.500.12428/34058
dc.identifier.volume20
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofTurkish journal of clinical and experimental ophthalmology
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_TR_20260130
dc.subjectTrabeculectomy
dc.subjectPhacoemulsification
dc.subjectPseudoexfoliation
dc.subjectPhacotrabeculectomy
dc.titleResults of phaco surgery on the success of trabeculectomy in primary open-angle glaucoma patients with or without pseudoexfoliation
dc.typeArticle

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