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Abstract #15994 Published in IGR 2-3
The contribution of phacoemulsification to combined cataract and glaucoma surgery
Zhu H; Wei R; Li YChinese Journal of Ophthalmology 2000; 36: 95
OBJECTIVE: To study the safety and effectiveness of phacoemulsification (phaco) in trabeculectomy combined with cataract extraction (phacotrabeculectomy) and posterior chamber intraocular lens (IOL) implantation. METHODS: Sixty-eight eyes with glaucoma and cataract were randomly divided into two groups: phacotrabeculectomy with IOL implantation and modern extracapsular cataract extraction (ECCE), and trabeculectomy and IOL implantation. RESULTS: Postoperatively, in the phaco group, the intraocular pressure decreased obviously at the early stage (p < 0.05), the number of cases necessary for the use of anti-glaucoma drugs was decreased, the mean kinds of drug applied were markedly decreased (p < 0.05), visual acuity improved quickly, significantly and steadily, and there were less complications than in the ECCE group. CONCLUSIONS: Phaco triple surgery is safe and effective. In cases with glaucoma and cataract, this surgery is indicated even when the cataract is neither mature nor premature.LA: Chinese
Dr. H. Zhu, Department of Ophthalmology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China. zhuhuang@soim.net
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
