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AIM: To compare the control of intraocular pressure (IOP) and visual acuity postoperatively between combined surgery of cataract and glaucoma with small incision intraocular lens trabeculectomy and traditional trabeculetomy for primary angle-closure glaucoma. METHODS: The 118 cases 138 eyes with primary angle-closure glaucoma were divided two groups. Group A: 47 cases 52 eyes underwent combined surgery of cataract and glaucoma with small incision introcular lens trabeculectomy. Group B: 71 cases 86 eyes underwent traditional trabeculetomy the postoperative control of IOP and visual acuity were compared and analyzed. RESULTS: One year after operation, IOP control rate in group A (89.6%) and group B (73.8%) had significant difference ((chi)(2) = 4.36, P < 0.05). One year after operation, the improvement of visual in acuity group A (0.33) and group B (0.09) had significant difference( t = 3.584, P < 0.05). CONCLUSION: The combined surgery of cataract and glaucoma with small incision introcular lens trabeculectomy has better effect in IOP's control and visual acuity than traditional trabeculetomy.LA: Japanese
M. Lu. Department of Ophthalmology, Luhe Hospital of Beijing, Tongzhou District, Beijing 101149, China. lacent71@yahoo.com.cn
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)