advertisement
Cataract surgery was performed on 50 eyes of 38 patients with well-controlled glaucoma. The series comprised primary open-angle glaucoma 23 eyes, normal-tension glaucoma 19 eyes, and pseudoexfoliation glaucoma 8 eyes. Intraocular pressure (IOP) of 50 eyes averaged 15.7 mmHg. All the eyes received phacoemulsification-aspiration with intraocular lens insertion. IOP decreased transiently 3 to 6 months after surgery. IOP at the final visit, or 22.58 months after surgery, averaged 15.5 mmHg. The difference from the preoperative value was not significant. Number of topical medications averaged 1.3 before and 1.0 after surgery. The difference was significant (p < 0.0l). Visual acuity improved in all the eyes after surgery, including those with advanced glaucoma. Mean deviation (MD) by Humphrey perimetry improved after surgery (p < 0.01). The findings show that cataract surgery may be beneficial to IOP and visual function in glaucomatous eyes. LA: Japanese
Dr. T. Tanabe, Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, 54 Shogoin, Kawaracho, Kyoto 606-8507, Japan
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)