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The outcome of combined same-site phacoemulsification, posterior chamber lens implantation, and trabeculectomy was retrospectively studied in patients with cataract and moderately controlled glaucoma, with a follow-up of at least six months. Primary phacotrabeculectomy without antimetabolites was performed in 74 patients. Mean intraocular pressure (IOP) decreased from 22.8-14.3 mmHg (35.3%). A maximum IOP of 19 mmHg without glaucoma medication was reached in 66.2%. Mean logMAR visual acuity increased from 0.58-0.30. Primary phacotrabeculectomy has been shown to be a safe and effective procedure with good IOP control and rapid visual rehabilitation.
Dr. H.J. Beckers, University Eye Clinic, Maastricht, The Netherlands
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)