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Abstract #23013 Published in IGR 11-1
The use of ultrasound biomicroscopy in observation of anterior chamber angle structure after combined glaucoma and cataract surgery
Wu Y-Q; Li Y-Z; Xu R-FInternational Journal of Ophthalmology 2008; 8: 2456-2458
AIM: To evaluate the use of ultrasound biomicroscope (UBM) in operative treatment of glaucoma combined with cataract, and to observe on the anterior chamber angle and its related structure in the patients with primary angle-closure glaucoma (PACG) after operation. METHODS: Combined MMF, intraocular lens (IOL) implantation and trabeculectomy were performed in 30 patients (30 eyes) with cataract and PACG. The changes of anterior chamber angle, anterior chamber distance were determined quantitatively by using UBM before and post operation 1 month. Trabecular iris angle (TIA), angle opening distance (AOD(500)), trabecular ciliary processes distance (TCPD) and iris distance (ID(1)) were measured. At the same time, the intraocular pressure (IOP) was also recorded. RESULTS: The IOP were obviously decreased after operation. There were significant differences between the preoperative and postoperative ACD, AOD(500), TIA, TCPD (P < 0.05). There was no statistical difference between the preoperative and postoperative ID(1). CONCLUSION: Combined glaucoma and cataract surgery can deepen the anterior chamber and anterior chamber angle, and reopen trabecular meshwork. It contributes to control intraocular pressure better and reduce postoperative complications such as shallow anterior chamber. A larger study with longer follow-up is needed to determine its long-term clinical outcomes. LA: Chinese
Dr. R.-F. Xu, Department of Ophthalmology, Drum Tower Hospital of Nanjing University Medical College, Nanjing Ningyi Eye Center, Nanjing 210009 Jiangsu Province, China. xu_renfeng@hotmail.com
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
6.12 Ultrasonography and ultrasound biomicroscopy (Part of: 6 Clinical examination methods)
