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Abstract #19840 Published in IGR 9-4
Therapeutic effects observation of glaucoma-cataract combined surgery in 103 cases
Huang P-LInternational Journal of Ophthalmology 2007; 7: 1438-1439
AIM: To observe preliminarily therapeutic effects of glaucoma-cataract combined surgery. METHODS: Trabeculectomy combined with extracapsular cataract extraction and intraocular lens implantation were performed in 103 cases (139 eyes) who had clear diagnosis and conformed to operation indications. Post-operative vision and intraocular pressure were observed. The follow-up time ranged from one month to five years with an average of 17.2 months. RESULTS: Among the total 139 eyes, postoperative vision of 128 eyes (92.1%) was improved over two lines compared with preoperative conditions; there was no obvious change between preoperative and postoperative vision in ten eyes (7.2%); only one eye's (0.7%) postoperative vision was one line worse than preoperative condition. The intraocular pressure of all eyes declined under 20 mmHg after the surgery, with the average decreasing rate of 43.2%. There were six kinds of complications. Thirty-six eyes had low intraocular pressure, shallow anterior chamber, subchoroidal hemorrhage, uveitis and other complications. The incidence of complication was 26.6%. All patients almost recovered through certain medication lasting one week to one month, and no severe vision damage occurred. CONCLUSION: Glaucoma-cataract combined surgery was a good way to treat concurrent glaucoma and cataract despite the risks of complications. When indication was appropriately chosen, and complication was disposed in time, satisfactory therapeutic effects could be achieved. LA: Chinese
Dr. P.-L. Huang, Department of Ophthalmology, Hospital of Health School, Hanzhong 723000 Shaanxi Province, China. hpl00039@gmail.com
Classification:
12.14.2 Extracapsular (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
