Glaucoma filtering surgery combined with phacoemulsification in the era of new aqueous humor filtration devices: A systematic review.
Sieta Gassama, Paul Bastelica, Christophe Baudouin et al.
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In 30 seconds
This systematic review evaluates the efficacy and safety of combined glaucoma filtering surgeries with phacoemulsification (PCE) versus standalone procedures in 27 studies. The main outcome was surgical success at ≥ 12 months. Results indicate that combined surgeries generally provide comparable long-term efficacy and safety, although some standalone procedures may perform better under strict success criteria.
Key findings
- Half of the studies comparing TRAB/PCE with standalone TRAB reported similar success rates.
- Data for NPDS/PCE showed mostly equivalent outcomes compared to standalone NPDS.
- XEN/PCE and PMS/PCE demonstrated similar surgical success rates and IOP reduction compared to standalone procedures.
- Some subgroups and stricter outcome thresholds favored standalone approaches.
Why it matters
Understanding the comparative effectiveness of combined versus standalone glaucoma surgeries is crucial for optimizing patient outcomes and surgical decision-making in ophthalmology.