{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T17:59:24Z","timestamp":1775498364613,"version":"3.50.1"},"reference-count":22,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T00:00:00Z","timestamp":1611273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>The aim of this study was to compare surgical and refractive outcomes between phacotrabeculectomy (P-Trab) and phaco with Ex-PRESS (P-Ex-PRESS) for glaucoma at a 6-month follow-up. This prospective randomized controlled trial included 81 eyes; 43 eyes (53%) and 38 eyes (47%) were assigned to the P-Ex-PRESS and P-Trab groups, respectively. Refraction, intraocular pressure (IOP), and best-corrected visual acuity were measured. Refractive change was analyzed using the cylinder\u2019s magnitude, and polar analysis assessed the change in the trend of astigmatism [with-the-rule, against-the-rule (ATR), oblique (OBL)], evaluating mean astigmatism in centroid form. All patients showed a statistically significant postoperative decrease in IOP (P &lt; 0.05). There were no differences between the groups in terms of postoperative IOP and visual outcomes or in astigmatism preoperatively or postoperatively (P = 0.61, P = 0.74). In both groups, the mean preoperative and postoperative astigmatism were ATR and OBL, respectively. Preoperative and postoperative centroids in the P-Ex-PRESS group were 0.44 \u00b1 1.32 D at 177\u00b0 and 0.35 \u00b1 1 D at 8\u00b0, respectively, (P = 0.5) and in the P-Trab group were 0.16 \u00b1 1.5 D at 141\u00b0 and 0.39 \u00b1 1.38 D at 29\u00b0, respectively (P = 0.38). Both P-Ex-PRESS and P-Trab showed comparable antihypertensive efficacy in treating open-angle glaucoma over 6 months. Preoperative and postoperative astigmatism did not differ between groups. The groups showed comparable results for final visual acuity.<\/jats:p>","DOI":"10.3390\/jcm10030424","type":"journal-article","created":{"date-parts":[[2021,1,22]],"date-time":"2021-01-22T11:13:53Z","timestamp":1611314033000},"page":"424","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Phacotrabeculectomy versus Phaco with Implantation of the Ex-PRESS Device: Surgical and Refractive Outcomes\u2014A Randomized Controlled Trial"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9088-6938","authenticated-orcid":false,"given":"Joanna","family":"Konopi\u0144ska","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Medical University of Bia\u0142ystok, M. Sklodowska-Curie 24A STR, 15-276 Bia\u0142ystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6143-9004","authenticated-orcid":false,"given":"Anna","family":"Byszewska","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Military Institute of Medicine, Szaser\u00f3w 128 STR, 04-141 Warszawa, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emil","family":"Saeed","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Medical University of Bia\u0142ystok, M. Sklodowska-Curie 24A STR, 15-276 Bia\u0142ystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zofia","family":"Mariak","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Medical University of Bia\u0142ystok, M. Sklodowska-Curie 24A STR, 15-276 Bia\u0142ystok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marek","family":"R\u0119kas","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Military Institute of Medicine, Szaser\u00f3w 128 STR, 04-141 Warszawa, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2021,1,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1136\/bjo.2004.058032","article-title":"Long term effect on IOP of a stainless steel glaucoma drainage implant (Ex-PRESS) in combined surgery with phacoemulsification","volume":"89","author":"Traverso","year":"2005","journal-title":"Br. J. Ophthalmol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.ajo.2013.09.014","article-title":"S.R.; Moster, M.R.; Ahmed, I.I.; Condon, G.; Salim, S.; Sherwood, M.B.; Siegfried, C.J. 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