{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:16:12Z","timestamp":1772165772704,"version":"3.50.1"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T00:00:00Z","timestamp":1602201600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T00:00:00Z","timestamp":1602201600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Ophthalmol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Glaucoma surgery have been developed to lower intraocular pressure in a less invasive manner than traditional glaucoma surgery. The purpose of this article is to determine the outcome of using combined phacoemulsification technique, ab-interno\u00a0trabeculectomy dual blade and endoscopic cyclophotocoagulation (ECP) surgeries in patients with primary open angle glaucoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective case series was performed on 27 consecutive eyes with both primary open-angle glaucoma (POAG) and cataract; each eye was treated with combined phacoemulsification, ab-interno trabeculectomy-Kahook Dual Blade and Endocyclophotocoagulation at Instituto de ojos Oftalmosalud, Lima, Peru, between April 2017 and May 2017. Inclusion criteria: 1) Patients with uncontrolled mild to advanced POAG (according to Glaucoma Grading Scale HODAPP) 2) cataract condition 3) treatment with two or more glaucoma medications due to rapid progression in the visual fields (at least two in a short period of time). Intraocular pressure (IOP), best corrected visual acuity (BCVA) logMAR and number of glaucoma medications were recorded prior to the study, at day 1, week 1, and 1,3,6 and 9\u2009months after surgery. Primary outcome measure was surgical success defined in terms of IOP &lt;\u200914\u2009mmHg either with no medications (complete success) or with medications (qualified success).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 27 eyes from 27 patients were included. The mean basal IOP was 17.0\u2009\u00b1\u20093.7\u2009mmHg and postoperatively was 11.6\u2009\u00b1\u20091.9\u2009mmHg and 11.4\u2009\u00b1\u20091.8\u2009mmHg (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) at 6 and 9\u2009months respectively. Glaucoma medications decreased from 1.9\u2009\u00b1\u20091.4 to 0.56\u2009\u00b1\u20091.05 at 9\u2009month follow-ups (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Preoperative best corrected visual acuity (BCVA) showed and improvement from 0.4\u2009\u00b1\u20090.4 LogMAR to 0.2\u2009\u00b1\u20090.4 logMAR at 9\u2009months. The main complication was blood reflux intra-operatively (66.7%), which resolved without re-operation. The mean IOP was reduced by 32.9% from baseline and the surgical success was 92,6%, (complete success 70,3% and qualified success 29,6%) at 9\u2009months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In patients with POAG, combined treatment with phacoemulsification, ab-interno trabeculectomy and endoscopic cyclophotocoagulation effectively reduced IOP and glaucoma medication dependence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12886-020-01643-2","type":"journal-article","created":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T06:03:15Z","timestamp":1602223395000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Primary outcomes of combined cataract extraction technique with Ab-Interno trabeculectomy and endoscopic Cyclophotocoagulation in patients with primary open angle Glaucoma"],"prefix":"10.1186","volume":"20","author":[{"given":"Juan Carlos","family":"Izquierdo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josefina","family":"Mej\u00edas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Ca\u00f1ola-R","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Agudelo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4412-5959","authenticated-orcid":false,"given":"B\u00e1rbara","family":"Rubio","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"issue":"7","key":"1643_CR1","doi-asserted-by":"publisher","first-page":"1096","DOI":"10.1016\/j.jcrs.2008.03.032","volume":"34","author":"BA Francis","year":"2008","unstructured":"Francis BA, Minckler D, Dustin L, et al. 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All research was conducted in accordance with the Declaration of Helsinki. All participants provided written informed consent forms prior to enrolment. This report does not contain any personal information that could lead to the identification of the patient. We do not require any administrative permissions and\/or licenses to access the data used in our research.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not Applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare to have no competing interests: JCI; LCR; JMS; NA; BRL.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"406"}}