LONG-TERM RESULTS OF PHACOCANALOPLASTY IN PATIENTS WITH ADVANCED PSEUDOEXFOLIATION GLAUCOMA
Aim - to assess the safety and efficacy of phacocanaloplasty in patients with concomitant advanced pseudoexfoliation glaucoma. Material and methods Fifty-seven eyes of fifty-six patients underwent canaloplasty guided by Glaucolight microcatheter. All patients were followed for 48 months. Visual acuity, changes of intraocular pressure (IOP), use of glaucoma medications, incidence of complications and postsurgical interventions were examined. Results Mean preoperative IOP decreased significantly from 29.8 mmHg (15.8 - 61.6) with a mean of 1.92 (0-3) glaucoma medications to 12.9 mmHg (11.0 - 19.6) with a mean of 0.12 (0-3) respectively in 48 months. Mean preoperative visual acuity increased from 0.15 (0.01-0.8) to 0.6 (0.01-1.2) by the final examination. The most frequent postoperative complications included mild hyphema (37 eyes, 65%), descemet membrane perforation (4 eyes, 7%), IOP spikes (4 eyes, 7%) and inflammation (4 eyes, 7%). Conclusion Phacocanaloplasty in eyes with concomitant advanced pseudoexfoliation glaucoma and cataract re-establishes the natural outflow system and led to a significant IOP reduction with minimal risk of intra and postoperative complications.