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AIM: To observe the therapeutic effect of extracapsular cataract extraction of IV/V grade sclerotic cataract with IOL implantation after glaucoma trabeculectomy through a small incision. METHODS: Sixty-five cases (69 eyes) of grade sclerotic cataract accepted temperal or temporalupper manual small incision cataract extraction with IOL implantation after glaucoma trabeculectomy. Follow up was 6-24 months. The postoperative vision, IOP and complications were observed. RESULTS: The postoperative vision were improved in 65 cases (69 eyes), in which 50 eyes' (72%) vision ≥ 0.5, postoperative average IOP was (15.22 ± 3.92) mmHg (1 mmHg = 0.133 kPa). The complications were corneal edema and uveitis. CONCLUSION: Glaucomatous eyes with sclerotic cataract after trabeculectomy rehabilitate their visual acuity, maintain IOP and have few complications. This operative technique is effective to treat sclerotic cataract after glaucoma surgery. LA: Chinese
Dr. X.-S. Zeng, Department of Ophthalmology, Guilin Medical College, Guilin 541001 Guangxi Zhuang Autonomous Region, China. dudu200488@126.com
12.12.2 Extracapsular (Part of: 12 Surgical treatment > 12.12 Cataract extraction)