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Abstract #17121 Published in IGR 9-1
Effect of ultrasonic emulsification triple surgery for glaucoma complicated with cataract on corneal endothelial cells
Zhou X-P; He X-Z; Xiao Q-G; Fei Z-G; Xia S-GInternational Journal of Ophthalmology 2006; 6: 1333-1335
AIM: To observe the changes of corneal endothelial cells after triple-surgery of trabeculetomy, ultrasonic phacoemulsification and posterior chamber intraocular lens (IOL) implantation, or small incision non-ultraemulsification IOL implantation for cataract combined with glaucoma. METHODS: The density and area of corneal endothelium cells in the phacoemulsification group and the control group with small incision extracapsular extraction of glaucoma and complicated cataract were measured by specular microscope before surgery and 3 months after surgery. RESULTS: In phacoemulsification group, the rate of the corneal endothelial cells loss was 10.79% ± 3.69%. In small incision non-ultraemulsification group, the rate of the corneal endothelial cells loss was 12.56% ± 3.03%. The levels of postoperative cell density and average area are significantly different from those of the preoperative. There was no significant difference in the control group (P > 0.05). CONCLUSION: The triple procedure of phacoemulsification, intraocular lens implantation combined with trabeculectomy is safe and effective for treating coexisting glaucoma and cataract, and it can reduce intraocular pressure, improve visual acuity rapidly with few post-operative complications. LA: Chinese
Dr. X.-P. Zhou, Ophthalmic Center, Nanhau University, Hengyang 421001 Hunan Province, China. hnzxp1230@yahoo.com.cn
Classification:
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
2.2 Cornea (Part of: 2 Anatomical structures in glaucoma)