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Abstract #5906 Published in IGR 2-1
Long-term results of combined glaucoma and cataract surgery: intraocular pressure and visual acuity follow-up
Heisler J-M; Venjakob H; Von Domarus D; Wirt HOphthalmologe 2000; 97: 108-112
BACKGROUND: The aim of this investigation was to ascertain the long-term results of intraocular pressure and visual acuity after combined glaucoma and cataract surgery. PATIENTS AND METHODS: Between 1994 and 1997, 65 eyes underwent Pham's sclerectomy and, at the same time, 65 eyes underwent Elliot's trephination with scleral flap. Both procedures were combined with phacoemulsification and implantation of a posterior chamber lens. The mean follow-up was 21.9±11.0 months. RESULTS: The IOP of eyes that underwent Pham's sclerectomy decreased from 21.4±3.3 mmHg to 14.9±2.7 mmHg and of eyes that underwent Elliot's trephination from 24.6±7.3 mmHg to 15.8±2.6 mmHg. Thirty percent of the eyes with Pham's sclerectomy and 25% with Elliot's trephination required an additional medication. In both procedures, the overall visual acuity increased by three lines. CONCLUSIONS: The results of this combined glaucoma and cataract surgery confirm their efficiency. From an economical aspect, combined glaucoma and cataract surgery has gained increasing significance. LA: German
Dr. J.-M. Heisler, Augenklinik, Allgemeinen Krankenhauses Barmbek, Rubenkamp 148, 22291 Hamburg, Germany
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
