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Abstract #15636 Published in IGR 2-3
Anterior chamber flare after trabeculectomy and after phacoemulsification
Siriwardena D; Kotecha A; Minassian D; Dart JK; Khaw PTBritish Journal of Ophthalmology 2000; 84: 1056-1057
AIMS: To evaluate and compare prospectively the anterior chamber inflammatory response after phacoemulsification cataract surgery and after trabeculectomy with peripheral iridectomy. METHODS: Anterior chamber inflammation was measured using the Kowa FM-500 laser flare meter in 131 patients undergoing trabeculectomy and 148 patients undergoing phacoemulsification cataract extraction with intraocular lens implantation. Flare was measured before surgery and on each postoperative visit up to 12 months. RESULTS: Before surgery, there was no significant difference in flare readings between the two groups. Following trabeculectomy, flare returned to baseline levels four weeks after surgery, while following phacoemulsification cataract extraction, it remained significantly higher at week 6 (p < 0.006) and month 3 (p < 0.05). CONCLUSIONS: Anterior chamber inflammation is more prolonged after cataract surgery than after trabeculectomy. This may have implications for the timing of trabeculectomy in relation to cataract surgery.
Dr. D. Siriwardena, Institute of Ophthalmology, London EC1V 9EL, UK. d.siriwardena@ucl.ac.uk
Classification:
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
