advertisement
Abstract #15990 Published in IGR 2-3
Trabeculectomy combined with phacoemulsification for treatment of glaucoma complicated with cataract
Song X; Wang W; Yang GChinese Journal of Ophthalmology 2000; 36: 431
OBJECTIVE: To evaluate the effectiveness of small-incision triple procedure, including phacoemulsification, posterior chamber intraocular lens implantation and trabeculectomy, in patients with coexisting glaucoma and cataract. METHODS: Twenty patients (26 eyes) with coexisting glaucoma and cataract underwent 3.5-mm incision triple procedure. The mean follow-up was 16.1 months (3-41 months). RESULTS: The mean preoperative intraocular pressure (IOP) was 23.01 ± 2.63 mmHg (1 mmHg = 0.133 kPa) which decreased to a mean postoperative IOP of 13.93 ± 1.85 mmHg (p < 0.001. Seventeen (65%) of 26 eyes had a best-corrected visual acuity of ≥0.6 at the last follow-up (range, 0.05-1.0). The mean magnitude of astigmatism was 0.81 D (range, 0-3.00 D), four eyes had no astigmatism. Although two eyes used antiglaucoma medications shortly after surgery, no eyes were using any medications at the last follow-up. The early postoperative complications included corneal edema in five eyes (19%) and shallow anterior chamber in three eyes (12%). Late complications were mainly the after cataract in six eyes (23%). CONCLUSIONS: The small-incision triple procedure appears to be effective for treating selected patients with coexisting cataract and glaucoma, rapidly improving the valid visual acuity, reducing IOP with less medications, and having fewer postoperative complications.LA: Chinese
Dr. X. Song, Department of Ophthalmology, Shanghai Sixth People's Hospital, Shanghai 200233, China
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)