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Abstract #9058 Published in IGR 5-2
Phacoemulsification and intraocular lens implantation combined with trabeculotomy for open-angle glaucoma and coexisting cataract
Kubota T; Touguri I; Onizuka N; Matsuura TOphthalmologica 2003; 217: 204-207
OBJECTIVE: To study the outcome of phacoemulsification and intraocular lens implantation combined with trabeculotomy. METHODS: The authors performed trabeculotomy combined with phacoemulsification and foldable lens implantation in 25 eyes with open-angle glaucoma and coexisting cataract in 18 patients. The series comprised nine males (13 eyes) and nine females (12 eyes). Mean age of the patients was 73.4 ± 10.9 years (45-87 years). Mean follow-up period was 14.3 ± 6.0 months (6-24 months). RESULTS: The preoperative intraocular pressure (IOP) was 21.4 ± 3.7 mmHg. The postoperative IOP six months after surgery was 12.8 ± 3.4 mmHg. A postoperative tension spike (> 30 mmHg) was observed in two eyes. Six months after operation, IOP was controlled at under 21 mmHg in all eyes, and at under 16 mmHg in 18 eyes. The medication score (one point per antiglaucomatous medication) was 2.0 ± 1.6 before surgery and 0.4 ± 0.7 thereafter. The mean refractive error after operation was -0.8 ± 0.7 D (range, -2.4 to 0 D). The deviation of the actual refractive error from the predicted one was +0.29 ± 0.54 D (range, -0.52 to +1.10 D). CONCLUSION: The outcome of the combined operation for open-angle glaucoma and coexisting cataract was promising.
Dr. T. Kubota, Department of Ophthalmology, National Nagasaki Medical Center, 2-1001-1 Kubawa, Omura City, Nagasaki 856-8562, Japan. kubota@nmc.hosp.go.jp
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
