Ch Javaid Iqbal, Muhammad Salman Hamza, Rafih Razzaq Wattoo, Qunbar Abbas Chaudhry.
Comparison of Success of Phaco-trabeculectomy versus Trabeculectomy in the Treatment of Primary Angle Closure Glaucoma (PACG).
Ophthalmol Update Jan ;13(3):200-3.

Objective: To compare the success of phacotrabeculectomy versus trabeculectomy for the treatment of primary angle closure glaucoma. Material and Method: A total of 40 patients, above 40 years of age without gender discrimination having primary angle closure glaucoma were included in the study. Patients with secondary glaucoma and intraocular surgery were excluded. Then selected patients were randomly divided into two groups, Group A (Phacotrabeculectomy) and Group B (Trabeculectomy), by using lottery method. Outcome variables like decrease in IOP were noted at the end of three months. Results: Mean age of patients in Group-A and Group-B was 61.30±11.81 and 62.70±11.29 years. Gender distribution of patients showed that there were 23(57%) female and 17(43%) were male patients. There were 18(90%) patients in Group-A and 12(60%) patients in Group-B who had successful (intraocular pressure (IOP) <15 mmHg at the end of three months) outcome. In terms of p-values success rate of Group-A was high as compared to Group-B treatment (p-value=0.028). Conclusion: Results of this study showed that phacotrabeculectomy is more effective as compared to that trabeculectomy for treating primary angle closure glaucoma patients.

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