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AIM: To investigate the method in treatment of secondary glaucoma due to intumescent cataract. METHODS: Two kinds of surgical methods were used in thirty-six cases (36 eyes) of secondary glaucoma due to intumescent cataract respectively. Cataract extraction through small incision combined with intraocular lens implantation (two-manner operation) was carried out in 16 cases with open chamber angle over 180 degrees. Cataract extraction through small incision combined with intraocular lens implantation and trabeculectomy (three-manner operation) was carried out in 20 cases with open chamber angle less than 180 degrees. RESULTS: In 16 cases with two-manner operation, vision was 0.05-0.2 in 5 cases (31%), 0.3-0.4 in 9 cases (56%), (greater-than or equal to)0.5 in 2 cases (13%), the maximum postoperative intraocular pressure was 20.55 mmHg, the minimum value was 12.23 mmHg, and the mean value was 16.46 mmHg. In 20 cases with three-manner operation, vision was 0.05-0.2 in 9 cases (45%), 0.3-0.4 in 8 cases (40%), (greater-than or equal to)0.5 in 3 cases (15%). In 18 of the 20 cases, the maximum postoperative intraocular pressure was 20.55 mmHg, the minimum value was 13.35 mmHg, and the mean value was 16.48 mmHg. In 2 of the 20 cases, the postoperative intraocular pressure was 32.97-25.81 mmHg, and was controlled to 14.57mmHg after 5 g/L timolol application one times a day. CONCLUSION: Both of the two surgical methods have good long term effects in treatment of secondary glaucoma due to intumescent cataract. LA: Chinese
Dr. B. Long, Department of Ophthalmology, Central Hospital of Suining City, Suining 629000, Sichuan Province, P.R. China. longzhixi@163.com
9.4.4.2 Glaucomas associated with cataracts (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)