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- W1489278544 abstract "Purpose of the Study . To compare the efficacy and safety of phacotrabeculectomy (P-Trab) and phacoemulsification with the ExPress (P-ExPress) mini glaucoma shunt implantation. Study Plan . Prospective randomized study. Material and Methods . 85 eyes with cataract and unregulated open angle glaucoma. There were 46 eyes in the P-ExPress and 39 the P-Trab group. Intraocular pressure (IOP), the number of antiglaucoma medications, qualified and complete surgical success (defined as IOP ≤ 18.0 mmHg), visual acuity (CDVA), the number of endothelial cells, and postoperative complications and additional procedures were assessed. Results . After 12 months of observation, the average IOP in the P-Express group went from 26.4 ± 9.3 down to 17.1 ± 5 mmHg (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M1><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.05</mml:mn></mml:math>) and from 27.9 ± 12.9 down to 15.9 ± 2.7 mmHg in the P-Trab group (<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M2><mml:mi>P</mml:mi><mml:mo><</mml:mo><mml:mn>0.05</mml:mn></mml:math>). No significant differences in the amount of medications used after surgery and CDVA were discovered between the groups. In the P-ExPress group, greater loss of endothelial cells was noted<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M3><mml:mo stretchy=false>(</mml:mo><mml:mtext>C</mml:mtext><mml:msub><mml:mrow><mml:mtext>D</mml:mtext></mml:mrow><mml:mrow><mml:mtext>loss</mml:mtext><mml:mi>%</mml:mi></mml:mrow></mml:msub><mml:mo stretchy=false>)</mml:mo></mml:math>, compared to the P-Trab group. Conclusions . Both P-ExPress and P-Trab have comparable efficacy and similar early postoperative complication profile. The presence of additional implant (as is the case of the ExPress mini glaucoma shunt implantation) may cause progressive loss of endothelial cells." @default.
- W1489278544 created "2016-06-24" @default.
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- W1489278544 date "2015-01-01" @default.
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- W1489278544 title "Prospective Randomized Study Comparing Combined Phaco-ExPress and Phacotrabeculectomy in Open Angle Glaucoma Treatment: 12-Month Follow-Up" @default.
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- W1489278544 doi "https://doi.org/10.1155/2015/720109" @default.
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