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Abstract #11407 Published in IGR 6-3
Refractive error with optimum intraocular lens power calculation after glaucoma filtering surgery
Tan HY; Wu SCJournal of Cataract and Refractive Surgery 2004; 30:2595-2597
PURPOSE: To assess the possibility of deriving an optimum intraocular lens (IOL) power after previous successful trabeculectomy. SETTING: Chang Gung Memorial Hospital, Linko, Taiwan. METHODS: The retrospective study included 1 eye of 22 patients who had cataract surgery after successful trabeculectomy performed by 1 surgeon. Twenty-two eyes that had cataract surgery only performed by the same surgeon were paired as a control group. The IOL power was calculated by the Sanders-Retzlaff-Kraff regression analysis formula based on the data derived after trabeculectomy. The postoperative refractive error at least 1 month after cataract surgery was recorded, and the difference was analyzed by a paired t test and 2-sample t test. RESULTS: Cataract surgery combined with trabeculectomy resulted in a mean spherical equivalent of -0.33 diopter ± 1.58 (SD). This was not significantly different from the predicted refractive error or the result in the control group (P > .05). CONCLUSION: Although the fluctuation in pseudophakic axial length measurement after glaucoma filtering surgery was logical, a predictable pseudophakic refractive outcome was derived clinically once the intraocular pressure stabilized after trabeculectomy.
Dr. H.Y. Tan, Department of Ophthalmology, Chang Gung Memorial Hospital, Linko, Taiwan
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
