Akreos adapt

All surgical procedures were performed under retrobulbar anesthesia (2% xylocaine and 0.5% bupivacaine) by the same experienced surgeon (JK) for the duration of the study. In both procedures, the fornix-base conjunctiva was dissected, and the sclera was exposed. A limbus-based, square-shaped (4 mm × 4 mm) scleral flap was dissected using the technique described by Traverso et al. [1 (link)]. A clear corneal incision of 2.25 mm was made temporally with the phaco-chop technique for phacoemulsification using the Megatron S4 HPS (Geuder, Heidelberg, Germany), and an IOL was implanted into the capsular bag. The same type of IOLs (Akreos Adapt, Bausch & Lomb, Rochester, NY, USA) were implanted for all surgeries. In the P-Ex-PRESS group, a mini glaucoma shunt was implanted at the one o’clock position, using a technique described previously [12 (link)]. In the P-Trab group, iridectomy was made at the same position. The scleral flap was closed with 10/0 nylon sutures (four knotted sutures) and the conjunctival closure was achieved with absorbable sutures. During trabeculectomy and Ex-PRESS mini glaucoma shunt implantation, 5-fluorouracil (5-FU; 50 mg/mL) was used on a standard basis and applied to the scleral wound bed for 3.5 min to avoid contact with the conjunctival incision area [9 (link)].