Comparison of Phacotrabeculectomy and Phacotrabeculectomy with Subconjunctival 5-Fluorouracil

  • Nanda Kumari Gurung Department of Glaucoma Lumbini Eye Institute, Bhairahawa, Nepal.
  • Prachand Gautam Department of Glaucoma Lumbini Eye Institute, Bhairahawa, Nepal.
  • Shanti Gurung Department of Glaucoma Lumbini Eye Institute, Bhairahawa, Nepal.
  • Binita Bhattarai Department of Glaucoma Lumbini Eye Institute, Bhairahawa, Nepal.
Keywords: glaucoma; 5FU; intraocular pressure; phacotrabeculectomy.

Abstract

Introduction: Glaucoma is the second leading cause of blindness worldwide. Phacotrabeculectomy
is a technique in which glaucoma and cataract surgery performed.

Methods: Prospective study was carried out in the department of glaucoma at Lumbini Eye Institute, Bhairahawa.100 patients who underwent phacotrabeculectomy within a period of two years. Patients were divided into two groups those who received 5FU (n=47) and no antifibrotic agent (n= 53).

Results: The age range was from 38 to 80 years; mean age of 62.97±9.14 SD. 55% were male and 45% were female.The postoperative IOP reduction in last follow- up group A was mean=13.08±1.57SD and mean=13.23±1.73SD in group B. This was statically significant with P <0.001. Bleb survival was almost similar in two groups 3.17(78.31%) in group A and 3.20 (78.93%) in group B. 85% visual acuity was improved in both groups.

Conclusions: Phacotrabeculectomy and phacotrabeculectomy with inj. 5FU, both were equally effective surgical techniques in terms of visual acuity, IOP control and bleb survival.There was no significant statistical difference vis-à-vis the success of Phacotrabeculectomy using of either these two techniques. 

Keywords: glaucoma; 5FU; intraocular pressure; phacotrabeculectomy.

Published
2014-12-31
How to Cite
Gurung, N. K., Gautam, P., Gurung, S., & Bhattarai, B. (2014). Comparison of Phacotrabeculectomy and Phacotrabeculectomy with Subconjunctival 5-Fluorouracil. Journal of Nepal Medical Association, 52(196), 1010-1013. https://doi.org/10.31729/jnma.2803
Section
Original Article