{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T15:10:35Z","timestamp":1791385835498,"version":"4.3.3"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2017]]},"abstract":"<jats:p>\n                    <jats:italic>Purpose<\/jats:italic>\n                    . To compare changes in intraocular pressure (IOP), axial eye length (AEL), and refractive outcome in primary open-angle glaucoma patients undergoing cataract surgery and trabeculectomy in dependence of the sequence of surgeries.\n                    <jats:italic>Materials and Methods<\/jats:italic>\n                    . We retrospectively analysed 48 eyes. The changes in refraction, intraocular pressure, and axial eye length were analysed after surgery. In group A (21 subjects), phacoemulsification was performed before trabeculectomy, and in group B (27 subjects), trabeculectomy was performed before phacoemulsification with a minimum time span between interventions of 6 months.\n                    <jats:italic>Results<\/jats:italic>\n                    . The reduction in IOP and the decrease in AEL after trabeculectomy were significant after 6 and 12 months postsurgery (\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                      <mml:mi>p<\/mml:mi>\n                      <mml:mo>&lt;<\/mml:mo>\n                      <mml:mn>0.001<\/mml:mn>\n                    <\/mml:math>\n                    each). The decrease in AEL was 0.42\u2009\u00b1\u20090.11% at 6 months after surgery and 0.40\u2009\u00b1\u20090.13% after 12 months from surgery; this decrease in AEL was comparable between the groups. The refractive outcome was significantly different between the groups (group A: 0.35\u2009\u00b1\u20090.75\u2009dpt, group B: \u22120.05\u2009\u00b1\u20090.36\u2009dpt,\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                      <mml:mi>p<\/mml:mi>\n                      <mml:mo>=<\/mml:mo>\n                      <mml:mn>0.018<\/mml:mn>\n                    <\/mml:math>\n                    ); in group A, trabeculectomy caused a hyperopic shift of 0.34\u2009\u00b1\u20090.44\u2009dpt (\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                      <mml:mi>p<\/mml:mi>\n                      <mml:mo>=<\/mml:mo>\n                      <mml:mn>0.002<\/mml:mn>\n                    <\/mml:math>\n                    ) at 12 months postsurgery.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    . IOP reduction after trabeculectomy causes AEL shortening. The effect on refractive outcome depends on the sequence of surgeries. Better refractive outcome is achieved if phacoemulsification is performed after trabeculectomy.\n                  <\/jats:p>","DOI":"10.1155\/2017\/1203269","type":"journal-article","created":{"date-parts":[[2017,6,4]],"date-time":"2017-06-04T17:02:37Z","timestamp":1496595757000},"page":"1-6","source":"Crossref","is-referenced-by-count":12,"title":["Intraocular Pressure, Axial Length, and Refractive Changes after Phacoemulsification and Trabeculectomy for Open-Angle Glaucoma"],"prefix":"10.1155","volume":"2017","author":[{"given":"Alina","family":"Popa-Cherecheanu","sequence":"first","affiliation":[{"name":"Carol Davila University of Medicine and Pharmacy, Dionisie Lupu 37 Street, 020021 Bucharest, Romania"},{"name":"Emergency University Hospital, Department of Ophthalmology, Splaiul Independentei 169, 050098 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6933-8219","authenticated-orcid":true,"given":"Raluca Claudia","family":"Iancu","sequence":"additional","affiliation":[{"name":"Carol Davila University of Medicine and Pharmacy, Dionisie Lupu 37 Street, 020021 Bucharest, Romania"},{"name":"Emergency University Hospital, Department of Ophthalmology, Splaiul Independentei 169, 050098 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leopold","family":"Schmetterer","sequence":"additional","affiliation":[{"name":"Department of Clinical Pharmacology, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria"},{"name":"Center for Medical Physics and Biomedical Engineering, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria"},{"name":"Singapore Eye Research Institute, The Academia, 20 College Road Discovery Tower Level 6, Singapore 169856"},{"name":"Lee Kong Chian School of Medicine, Nanyang Technological University, Novena Campus, 11 Mandalay Road, Singapore 308232"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7462-0929","authenticated-orcid":true,"given":"Ruxandra","family":"Pirvulescu","sequence":"additional","affiliation":[{"name":"Carol Davila University of Medicine and Pharmacy, Dionisie Lupu 37 Street, 020021 Bucharest, Romania"},{"name":"Emergency University Hospital, Department of Ophthalmology, Splaiul Independentei 169, 050098 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Coviltir","sequence":"additional","affiliation":[{"name":"Carol Davila University of Medicine and Pharmacy, Dionisie Lupu 37 Street, 020021 Bucharest, Romania"},{"name":"Ophthalmological Emergency Hospital, Alexandru Lahovari 1 Square, Bucharest, 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