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Abstract #15999 Published in IGR 2-3
Combined phacoemulsification, foldable intraocular lens implantation and trabeculectomy for cataract patients with glaucoma
Yao K; Wu R; Xu WChinese Journal of Ophthalmology 2000; 36: 330
OBJECTIVE: To evaluate the therapeutic effects and safety of combined phacoemulsification, foldable intraocular lens implantation and trabeculectomy (triple procedure), and to compare the outcomes of operation with two different small incisions: conventional scleral flap and scleral tunnel flap. METHODS: The triple procedure was performed through a 3.5-mm incision by means of a conventional scleral flap or scleral tunnel flap on 44 eyes of 42 patients with cataract and glaucoma. RESULTS: After a follow-up of three to six months, the mean intraocular pressure (IOP) was 14.33 ± 3.68 mmHg (1 mmHg = 0.133 kPa), with a mean pressure reduction of 10.35 mmHg compared to before the operation (p < 0.001). Postoperatively, the visual acuities were ≥0.5 in 33 eyes (75.0%) at one week, and in 37 eyes (84.1%) during the three to six months of follow-up. The mean postoperative astigmatism was 1.29 ± 0.93 D at one week, being only 0.17 D more than the mean preoperative one (p > 0.05). Neither was there a statistical difference between mean preoperative and postoperative astigmatism at three to six months, which was 1.12 ± 0.73 D. Type I and II (functional) filtering blebs according to Kronfeld's classification presented in 79.5% of eyes, and type III (non-functional) in 20.5%. There was no statistical difference in the postoperative outcome of IOP, visual acuity, astigmatism, or filtering blebs between the two different procedure groups (p > 0.05). CONCLUSIONS: The triple procedure is an effective, quick, repeatable, and safe procedure for cataract patients with glaucoma. There was no difference in surgical outcome between conventional scleral flap and scleral tunnel flap incisions.LA: Chinese
Dr. K. Yao, Department of Ophthalmology, Affiliated Secon Hospital, Medical College of Zhejiang University, Hangzhou 310009, China
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)