Sasidharan Ajita, Shah Paraali, Thulasidas Mithun
Glaucoma Services, Sankara Eye Hospital, Coimbatore, Tamil Nadu, India.
Indian J Ophthalmol. 2025 Mar 1;73(Suppl 2):S250-S253. doi: 10.4103/IJO.IJO_723_24. Epub 2024 Jul 11.
The aim of the study was to assess the early postoperative efficacy and safety of Tanito microhook (TMH) ab interno trabeculotomy combined with phacoemulsification in patients with primary open-angle glaucoma (POAG).
This prospective interventional study was conducted on consecutive patients with visually significant cataract and mild-moderate POAG. All patients underwent a temporal clear corneal phacoemulsification combined with TMH ab interno trabeculotomy. Postoperative evaluation was done on day 1, 1 month, and 3 months. The outcome measures included intraocular pressure (IOP) at different follow-ups and postoperative complications.
In total, 30 eyes of 30 patients were included in the study. There were 16 (53.3%) females and 14 (46.7%) males with a mean age of 62.63 ± 6.7 years. The mean IOP reduced from 23.57 ± 1.65 to 17.33 ± 2.84 at 3 months ( P < 0.001). All eyes had a corrected distance visual acuity ≥6/9 at 1 month postoperatively. Postoperative complications included corneal stromal edema in eight (26.7%) eyes, hyphema in four (13.3%) eyes, and IOP spike in one (3.3%) eye.
TMH ab interno trabeculotomy combined with phacoemulsification in patients with mild-moderate POAG is an effective and safe procedure with fewer complications.
本研究旨在评估内路小梁切开术联合超声乳化白内障吸除术治疗原发性开角型青光眼（POAG）患者术后早期的疗效和安全性。
对患有明显视力障碍的白内障和轻中度POAG的连续患者进行这项前瞻性干预性研究。所有患者均接受颞侧透明角膜超声乳化白内障吸除术联合内路小梁切开术。术后分别在第1天、1个月和3个月进行评估。观察指标包括不同随访时间的眼压（IOP）及术后并发症。
本研究共纳入30例患者的30只眼。其中女性16例（53.3%），男性14例（46.7%），平均年龄62.63±6.7岁。3个月时平均眼压从23.57±1.65降至17.33±2.84（P<0.001）。所有术眼术后1个月矫正远视力均≥6/9。术后并发症包括8只眼（26.7%）发生角膜基质水肿，4只眼（13.3%）发生前房积血，1只眼（3.3%）出现眼压急升。
内路小梁切开术联合超声乳化白内障吸除术治疗轻中度POAG患者是一种有效且安全的手术，并发症较少。
