Methods: Patients were categorized into three groups: Group 1 underwent combined surgery, Group 2 had trabeculectomy alone, and Group 3 received phacoemulsification and trabeculectomy at separate times. Surgical success was defined as complete if IOP was 5?21 mmHg without medication, and partial if within the same range with medication.

Results: The complete success rates for Groups 1, 2, and 3 were 38 (60.3%), 87 (58.4%), and 34 (49.3%), respectively, while partial success rates were 21 (33.3%), 29 (19.5%), and 17 (24.6%), respectively. Group 1 showed the highest overall success rate. The presence of PEX did not impact the success rates. Higher success was observed in patients with lower IOP both before and after surgery, whereas success rates were lower in groups that required needling. The presence of complications did not affect the success rates. Factors such as patient age, gender, type of surgery, number of preoperative medications, complications, and PEX status were not found to be associated with either complete or partial success during the follow-up period.

Conclusions: Phacotrabeculectomy has been shown to achieve similar success rates to trabeculectomy, with the added benefit of allowing for earlier visual recovery. Keywords : Phacotrabeculectomy, Trabeculectomy, Phacoemulsification, Pseudoexfoliation