DR. DRISHTI

Dr. DEVENDRA MAHESHWARI, DR. RAMA KRISHNAN R., DR. MOHIDEEN ABDUL KADAR PMT, DR. MADHAVI RAMANATHA PILLAI

Abstract

AIM:To assess the effectiveness and safety of Ab interno µhook trabeculotomy(LOT) with phacoemulsification in patients with mild-mod POAG.Methods:Prospective,comparative study where114 eyes were divided into 2groups;G1:Phaco-LOT,G2:onlyPhaco.Demographics,preop&postopIOP,Degrees of LOT,complications& IOP spikes were compared.Success defined as IOP<21mmhg/20% reduction.Results:Mean preop IOP in G1[26.45±5.2mmHg]reduced significantly at postop1,3&6 mnth to 12.43±3.6, 11.29±2.9&10.98±3.2respectively,in G2[25.33±3.1]significantly reduced to17.74±2.5, 17.58±2.2&18.19±1.7respectively(p<0.001).At postop 6 mnth,AGMs reduced more in G1[0.58(0.9)to 0.14(0.4) ]compared to G2[1.37(0.6)to 0.86(0.7)](p<0.001).In both grps VA improved significantly.In G1,IOPreduction was correlated to the degree of LOT.Most common postop complication in G1was Hyphema(5.3%)&corneal edema(8.8%) in G2.Conclusion:Combined Phaco-LOT is efficacious in early POAG without increasing the risk above standard phacoemulsification