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AIM: To investigate the therapeutic effect and method of phacoemulsification and foldable intraocular lens (IOL) implantation associated with trabeculectomy in angle-closure glaucoma with cataract. METHODS: Phacoemulsification with implantation of foldable IOL associated with trabeculectomy was performed on 43 patients 43 eyes with cataract and angle-closure glaucoma through a 3.2mm hyaline corneal incision and another sclera incision. RESULTS: The post-operation vision > 0.5 was in 26 cases (60%), between 0.1 to 0.5 in 17 cases(40%). The vision was improved in all cases. The average intraocular pressure 1 week after operation was 15.4 (plus or minus) 3.8mmHg, which was 10-30mmHg, lower than that before operation (P < 0.01). 42 eyes (98%) formed functional filtering bleb. CONCLUSION: Phacoemulsification and foldable IOL implantation associated with trabeculectomy in angle-closure glaucoma with cataract offers a safe and effective method to treat cataract with angle-closure glaucoma, and have a quicker visual recovery and good effect.LA: Japanese
S. Wang. Department of Ophthalmology, First People's Hospital of Xianyang City, Xianyang 712000, Shaanxi Province, China. plmko-980@163.com
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)