{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:19:20Z","timestamp":1787750360181,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/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":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To determine differing outcomes among pseudophakic patients with exfoliation glaucoma who underwent combined trabectome surgery and trabecular aspiration and phakic patients treated by a triple procedure with additional phacoemulsification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study involved 75 eyes of 75 participants, of which 25 eyes received combined ab-interno trabeculectomy and trabecular aspiration (Trabectome + TA group), and 50 eyes underwent a triple procedure with additional phacoemulsification (triple group). The groups were matched at a 1:2 ratio, based on the following criteria: preoperative intraocular pressure (IOP), maximum known preoperative IOP, preoperative medication score, cup\/disc ratio, follow-up time, and age. Successful surgery was defined by three scores: IOP at longest follow-up &lt;21 mmHg (Score A) or &lt;18 mmHg (Score B), without re-surgery and an IOP reduction &gt;20% or IOP \u226415 mmHg without re-surgery and an IOP reduction \u226540% (Score C).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The preoperative IOP was 23.7 \u00b1 5 mmHg, respectively, and decreased to 15.2 \u00b1 4 mmHg in the triple group, which is significantly lower than postoperative IOP in the Trabectome + TA group, being 18.6 \u00b1 8 mmHg during an average follow-up period of 33.4 \u00b1 26 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02). The success rate in the triple group was significantly higher than in the Trabectome + TA group, according to Score A (78% vs. 40%) and Score B (70% vs. 36%). When aiming at a lower target IOP (Score C), the success rates did not differ significantly (36% vs. 24%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Cataract extraction, as a part of a triple procedure, seems to contribute to more effective IOP-lowering than trabectome surgery and trabecular aspiration alone in patients who underwent standalone phacoemulsification previously.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/joco.joco_226_25","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T11:00:21Z","timestamp":1782126021000},"page":"389-394","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Combined Ab-Interno Trabeculectomy and Trabecular Aspiration as a Simultaneous versus Sequential Addition to Phacoemulsification in Exfoliative Eyes"],"prefix":"10.4103","volume":"37","author":[{"given":"David","family":"Kiessling","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, St. Martinus-Krankenhaus, D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Lappas","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospital of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas S.","family":"Dietlein","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, University Hospital of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gernot F.","family":"Roessler","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, St. Martinus-Krankenhaus, D\u00fcsseldorf, Germany"},{"name":"Department of Ophthalmology, RWTH Aachen University, Aachen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randolf A.","family":"Widder","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, St. Martinus-Krankenhaus, D\u00fcsseldorf, Germany"},{"name":"Department of Ophthalmology, University Hospital of Cologne, Cologne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,23]]},"reference":[{"key":"R1-20260623","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/S0039-6257(00)00196-X","article-title":"Exfoliation syndrome","volume":"45","author":"Ritch","year":"2001","journal-title":"Surv Ophthalmol"},{"key":"R2-20260623","first-page":"233","article-title":"Intraocular pressure and anterior chamber depth before and after extracapsular cataract extraction with posterior chamber lens implantation","volume":"23","author":"Steuhl","year":"1992","journal-title":"Ophthalmic Surg"},{"key":"R3-20260623","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1016\/S0886-3350(99)00107-8","article-title":"Long-term changes in intraocular pressure after clear corneal phacoemulsification: Normal patients versus glaucoma suspect and glaucoma patients","volume":"25","author":"Shingleton","year":"1999","journal-title":"J Cataract Refract Surg"},{"key":"R4-20260623","first-page":"641","article-title":"Trabecular aspiration: Clinical results of a new surgical approach to improve trabecular facility in glaucoma capsulare","volume":"25","author":"Jacobi","year":"1994","journal-title":"Ophthalmic Surg"},{"key":"R5-20260623","first-page":"2270","article-title":"Trabecular aspiration. 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