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Abstract #10474 Published in IGR 6-1
Combined surgery for cataract and glaucoma
Harrer E; Kuess W; Abri A; Binder SSpektrum der Augenheilkunde 2004; 18: 31-33
BACKGROUND: The results of combined cataract and glaucoma surgery were analyzed in a retrospective study. MATERIAL AND METHODS: A combined cataract and glaucoma surgery was performed on 53 patients (58 eyes). In 49 eyes, phaco-trabeculectomy was performed, and in nine eyes non-perforating sclerectomy. The authors examined visual acuity at optimum correction, intraocular pressure (IOP), postoperative medication, surgical procedure, and rate of postoperative complications. RESULTS: They included 58 eyes of 53 patients in the study. All the patients had been operated on at the Vienna Rudolf Foundation Hospital between January 1999 and December 2002. The mean observation time was 15 months (six months to two years). At the last examination, IOP was well regulated in 95% of cases (at < 20 mmHg). The mean improvement in visual acuity was 2.5 lines (-1 to 7 lines). The number of anti-glaucoma medications had been reduced from 2.0-0.6. CONCLUSIONS: This study shows a significant improvement in IOP and visual acuity, as well as a decrease in the use of postoperative medications. Compared to other publications, the authors achieved a relatively low rate of postoperative complications. LA: German
Dr. E. Harrer, Augenabt. KA Rudolfstiftung Wien, L.-Boltzmann-Inst. Retinol./B. L., Juchgasse 25, A-1030 Vienna, Austria
Classification:
12.14 Combined cataract extraction and glaucoma surgery (Part of: 12 Surgical treatment)