{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:36:49Z","timestamp":1786649809774,"version":"build-2736575974"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T00:00:00Z","timestamp":1772064000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To investigate the safety and efficacy of combining minimally invasive glaucoma surgery (MIGS) endocyclophotocoagulation (ECP) in advanced primary glaucomas and compare them with those of the current gold standard of phaco-trabeculectomy (PT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a retrospective study of subjects with advanced primary glaucomas (primary open angle glaucoma and primary angle closure glaucoma), more than 30 years, and who underwent ECP or trabeculectomy with Mitomycin C along with phaco-surgery. The primary outcome measure was IOP. The secondary outcomes were the number of anti-glaucoma medications (AGMs), best corrected visual acuity (BCVA), total success (defined as complete and qualified), complications, and interventions for these.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Twenty-eight eyes with phaco-ECP and a mean follow-up of 18 months were compared to 24 eyes that underwent PT (mean follow-up of 16 months). IOP reduced from 24.9 \u00b1 12.9 to 14.0 \u00b1 2.3 mmHg in the former group, and from 26.7 \u00b1 8.7 to 13.7 \u00b1 3.0 mmHg in the latter (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =.667); AGM was reduced from 3.6 \u00b1 1.0 to 0.9 \u00b1 1.0 and 3.5 \u00b1 1.1 to 1.4 \u00b1 1.5 in each group, respectively (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =.624). No sight-threatening complications occurred in either group; however, BCVA improved significantly in the phaco-ECP group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =.04). Though complications were more in the PT group, and so were the interventions (excluding suturelysis) they were marginally short of reaching significance (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =.05). No loss of vision occurred in either group. There were two failures in the PT group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Combining ECP with phaco has the potential to be as effective as the current gold standard in advanced primary glaucomas. It is safer with significantly improved BCVA and a much-reduced need for any interventions. Larger studies and longer follow-ups are recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_201_25","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T16:00:48Z","timestamp":1772035248000},"page":"426-432","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Phaco-endocyclophotocoagulation versus phaco-trabeculectomy in advanced glaucoma: A pilot study"],"prefix":"10.4103","volume":"74","author":[{"given":"Vanita","family":"Pathak-Ray","sequence":"first","affiliation":[{"name":"Director Glaucoma and Senior Consultant Glaucoma and Cataract Specialist, Centre for Sight, Banjara Hills, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kushal","family":"Goud Taduri","sequence":"additional","affiliation":[{"name":"Department of Glaucoma, Sankara Eye Hospital, Samarjhola, Hinjlicut Tahasil, Odisha, 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