Combined surgery: Comparison between phacoemulsification associated with deep sclerectomy or with trabeculectomy

Purpose To study the success rate of combined phaco-intraocular lens (IOL)-deep sclerectomy (P-DS). a new perforating filtering surgery, versus phaco-IOL-trabeculectomy (P-T). Methods Of 38 patients, 39 eves with cataract and different types of glaucoma. 19 eyes underwent P-BS, and 20 eves underwent P-T, Patients were prospectively studied. Results The follow-up of both groups was 11+/-6 months. The intraocular pressure (IOP) decrease in both groups was similar (from a mean preoperative IOP of 26.5 +/- 6.8 mmHg, to a mean postoperative IOP of 14.8 +/- 1.3 mm Hg in the P-DS group, vs 25.9 +/- 7.7 mm Hg preoperative and 14.5 +/- 1.7 mm Hg postoperative in the P-T group). The visual acuity outcome was similar in both groups. The complication rate was significantly lower in the P-DS group. Conclusions Deep sclerectomy associated with cataract surgery offers the same IOP reduction and visual acuity outcome, However. the complication rate is significantly lower and allows easier ambulatory care.