Factors Correlating With Failure to Control Intraocular Pressure in Primary XXXX Eyes With Coexisting @entity231 Treated by Phacoemulsification or Combined Phacotrabeculectomy.

@entity1539 @entity231 @entity726 @entity177 @entity2747
PURPOSE: To identify clinical factors correlating with @entity177 to control intraocular pressure (IOP) in primary @entity2747 (PACG) eyes with @entity231 after phacoemulsification or phacotrabeculectomy. DESIGN: Retrospective analysis of two prospective randomized controlled clinical trials. METHODS: Primary @entity2747 eyes with @entity231 received phacoemulsification or phacotrabeculectomy. Failure was defined as having IOP of 21mm Hg or greater, or requiring @entity726 drugs to maintain an IOP of less than 21 mm Hg, or having had additional IOP-lowering surgery. Factors correlating with @entity177 at 24 months after surgery were identified using logistic regression model. RESULTS: One hundred twenty-three PACG eyes with @entity231 and receiving phacoemulsification (n = 62) and phacotrabeculectomy (n = 61) were analyzed. With univariate analysis, factors associated with @entity177 included a higher preoperative IOP, a higher preoperative requirement for @entity726 drugs, absence of @entity1539 configuration, and phacoemulsification alone. With multivariate analysis, factors associated with @entity177 included a higher preoperative IOP [odds ratio (OR), 1.732 per increase in IOP of 5 mm Hg], a higher preoperative requirement for @entity726 drugs (OR, 1.913), and performance of phacoemulsification alone (OR, 10.24). CONCLUSIONS: In PACG eyes with @entity231 , higher preoperative IOP and increased requirement for @entity726 drugs correlate with @entity177 to control IOP after phacoemulsification or phacotrabeculectomy. Phacotrabeculectomy is more likely than phacoemulsification to achieve IOP control.
