Official ESCRS | European Society of Cataract & Refractive Surgeons
Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Surgical and refractive outcomes of combined phaco-ExPress vs phacotrabeculectomy: 6 month follow-up

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Session Details

Session Title: Glaucoma I

Session Date/Time: Sunday 11/09/2016 | 14:30-16:00

Paper Time: 15:42

Venue: Auditorium C6

First Author: : J.Konopinska POLAND

Co Author(s): :    A. Byszewska   E. Saeed   M. Wojnar   Z. Mariak   M. Rekas        

Abstract Details


To examine surgical and refractive outcomes of phacotrabeculectomy versus phaco with ExPress device implantation.


The randomized prospective study included 82 eyes, of which 47 was subject to phacoemulsification combined with ExPress device implantation (phaco-ExPress), while in 35 eyes phacotrabeculectomy (phaco-trab) was performed. The participants were 36 men and 46 women hospitalized in Ophthalmology Department of the Medical University of Bialystok, Poland.


The main diagnostic tests included measuring refraction, aplanation tonometry and keratometry. Some perioperative and postoperative complications and interventions (bleb needling, 5-FU injections) were analyzed as well. Intraocular measurements was performed before the surgery and then on 3 and 6 months after the operation. Statistical methods like Mann- Whitney test and Wilcoxon test were used in this research.


There were no differences between the groups in postoperative IOP and visual outcomes (p>0,05). Before surgery average astigmatism in phaco-Express group was 0,93 D and 0,95 D in phaco-trab group (p=0,087). 3 months postop average surgically induced astigmatism (SIA) in phaco-ExPress group was 1,18 D versus 1,12 D in phaco-trab group (p=0,72), 6 month after surgery SIA in group I was 1,07 in group II 0,97 (p=0,69). There were no difference between astigmatism before and after surgery in any point of time (p=0,61, p=0,74).


phaco-ExPress and phaco-trab have comparable efficacy. SIA did not differ among the groups in any point of observation period.

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