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Abstract #20720 Published in IGR 10-1
The efficacy of clear corneal incision phacoemulsification and intraocular lens implantation combined with trabeculectomy
Zheng Y; Zhang S-B; Huang H-CInternational Journal of Ophthalmology 2008; 8: 151-152
AIM: To evaluate the clinical effect and safety of clear corneal incision phacoemulsification and intraocular lens (IOL) implantation combined with trabeculectomy for the treatment of cataract and glaucoma. METHODS: A total of 127 cases (128 eyes) with glaucoma and cataract who underwent clear corneal incision phacoemulsification and IOL implantation combined with trabeculectomy in our hospital were retrospectively analyzed. Patients' visual acuity, intraocular pressure (IOP) before and after the operation were recorded as well as their surgical complication and filtering bleb condition. RESULTS: All patients' visual acuity were improved soon after the operation. During the follow-up of 6 months to 2 years, the corrected vision of 113 eyes was ≥ 0.5 (88.3%). IOP was markedly reduced compared with that before the opera-tion. IOP of 112 eyes were lower than 20mmHg, while IOP of the left 16 eyes were controlled with one or two kinds of anti-hypertension medicine. There were few postopera-tive complications. 83.6% of cases got functional filtering blebs. CONCLUSION: The combined surgery of trabeculectomy and clear corneal incision phacoemulsification and IOL implantation is a safe and effective surgery for patients with cataract and glaucoma. This combined surgery can improve visual acuity and control IOP with few complications and good recovery. LA: Chinese
Dr. Y. Zheng, Shantou University, Chinese University of Hong Kong, Joint Shantou International Eye Center, Shantou 515041 Guangdong Province, China. yzhengy@126.com
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
