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Abstract #19847 Published in IGR 9-4
Clinical analysis of combined phacoemulsification, intraocular lens implantation and trabeculectomy for cataract patients with glaucoma
Sun Y-B; Sun Z-S; Wang X-LInternational Journal of Ophthalmology 2007; 7: 1481-1482
AIM: To study the effect of combined phacoemulsification intraocular lens implantation and trabeculectomy in glaucoma and cataract patients. METHODS: A total of 125 eyes in 116 patients with coexisting glaucoma and cataract underwent the combined phacoemulsification, intraocular lens implantation and trabeculectomy. RESULTS: After a follow-up period of 5-26 months (means 12.6 months), the visual acuity (VA) of 125 eyes (100.0%) was improved. 42 eyes (33.6%) of them got the vision of 0.2 to 0.4; 43 eyes (34.4%) got the vision of 0.5 to 0.8; 21 eyes (16.8%) got the vision of 1.0 to 1.5. The intraocular pressure (IOP) of 119 eyes (95.2%) were normal without using anti-glaucoma medicine, while the IOP of six eyes (4.8%) became normal when topically applied anti-glaucoma medicine. Posterior capsular rupture occurred in seven eyes (5.6%), and slight hyphema in anterior chamber occurred in 22 eyes (17.6%) at two days postoperatively. CONCLUSION: Combined procedures have features of rapid visual acuity restoration, better effect of IOP declining and fewer complications. LA: Chinese
Dr. Y.-B. Sun, Department of Ophthalmology, Occupational Disease Hospital of Yantai City, Yantai 264025 Shandong Province, China. sybsd@163.com
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)