{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T07:35:48Z","timestamp":1774942548818,"version":"3.50.1"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,1,24]],"date-time":"2013-01-24T00:00:00Z","timestamp":1358985600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2013,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To examine the outcome and complications of combined phacoemulsification and endoscopic cyclophotocoagulation as surgical management of cataract and glaucoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective uncontrolled case series from the glaucoma unit, <jats:styled-content style=\"fixed-case\">W<\/jats:styled-content>estern <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>ye <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital, <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ondon, <jats:styled-content style=\"fixed-case\">UK<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Sixty\u2010three eyes from 59 patients with coexisting cataract and glaucoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients underwent routine phacoemulsification followed by 270\u2013360 degree endoscopic cyclophotocoagulation as a single procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Intraocular pressure, number of intraocular pressure\u2010lowering medications, log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content> visual acuity, recorded complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Baseline characteristics included mean age (77.3\u2009\u00b1\u200911.1 years), mean log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content> visual acuity (1.01\u2009\u00b1\u20090.98), mean intraocular pressure (21.13\u2009\u00b1\u20096.21\u2009<jats:styled-content style=\"fixed-case\">mmHg<\/jats:styled-content>) and mean number of intraocular pressure\u2010lowering medications, (2.71\u2009\u00b1\u20091.06). Twelve months after phacoemulsification and endoscopic cyclophotocoagulation, mean intraocular pressure had reduced to 16.09\u2009\u00b1\u20095.27\u2009<jats:styled-content style=\"fixed-case\">mmHg<\/jats:styled-content> (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01), number of intraocular pressure\u2010lowering medications reduced to 1.47\u2009\u00b1\u20091.30 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) and mean log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content> acuity improved to 0.33\u2009\u00b1\u20090.22 (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01). Success, defined as an intraocular pressure reduction\u2009&gt;\u200920% with intraocular pressure 6\u201321\u2009<jats:styled-content style=\"fixed-case\">mmHg<\/jats:styled-content>, was achieved in 55.5% of eyes at 12 months. Complications included fibrinous uveitis, elevated intraocular pressure, posterior vitreous detachment and induced astigmatism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Phacoemulsification and endoscopic cyclophotocoagulation is both safe and effective as surgical management for cataract and glaucoma. Larger intraocular pressure reductions can be achieved in older patients and those with higher baseline intraocular pressure.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.12051","type":"journal-article","created":{"date-parts":[[2012,12,12]],"date-time":"2012-12-12T07:01:58Z","timestamp":1355295718000},"page":"546-551","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":56,"title":["Combining phacoemulsification with endoscopic cyclophotocoagulation to manage cataract and glaucoma"],"prefix":"10.1111","volume":"41","author":[{"given":"Colin I","family":"Clement","sequence":"first","affiliation":[{"name":"Glaucoma Unit Western Eye Hospital  London UK"},{"name":"Ophthalmology Unit The Hillingdon Hospital  London UK"},{"name":"Glaucoma Unit Sydney Hospital Sydney Eye Hospital  Sydney New South Wales Australia"},{"name":"Discipline of Ophthalmology The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Kampougeris","sequence":"additional","affiliation":[{"name":"Ophthalmology Unit The Hillingdon Hospital  London UK"},{"name":"Athens Medical Centre  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faisal","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Glaucoma Unit Western Eye Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M Francesca","family":"Cordeiro","sequence":"additional","affiliation":[{"name":"Glaucoma Unit Western Eye Hospital  London UK"},{"name":"Glaucoma and Retinal Neuro\u2010degeneration Research Group UCL Institute of Ophthalmology  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip A","family":"Bloom","sequence":"additional","affiliation":[{"name":"Glaucoma Unit Western Eye Hospital  London UK"},{"name":"Ophthalmology Unit The Hillingdon Hospital  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,1,24]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.119.12.1771"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(01)00873-9"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2005.02.026"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2010.02382.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)00107-8"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2004.06.046"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.87.7.850"},{"key":"e_1_2_5_9_1","first-page":"346","article-title":"Combined phacoemulsification, endoscopic ciliary process photocoagulation and intraocular lens implantation in glaucoma management","volume":"26","author":"Uram M","year":"1995","journal-title":"Ophthalmic Surg"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0004-27492010000500006"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0886-3350(99)00141-8"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.86.2.238"},{"key":"e_1_2_5_13_1","volume-title":"Automated Perimetry","author":"Anderson DR","year":"1999"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2011-000578"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-9071.2009.02120.x"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjo.2005.072777"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaapos.2006.08.015"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00061198-200206000-00015"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.1995.01100030037018"},{"key":"e_1_2_5_20_1","first-page":"61","article-title":"Combined phacoemulsification and ECP","author":"Berke SJ","year":"2008","journal-title":"Cataract Refract Surg Today"}],"container-title":["Clinical &amp; 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