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Abstract #6578 Published in IGR 3-2
Management of concurrent glaucoma and cataract by phacotrabeculectomy technique: an effective alternative approach
Parihar JKS; Dash RG; Vats DP; Verma SC; Sahoo PK; Rodrigues FEA; Kamath APMedical Journal Armed Forces India 2001; 57: 207-209
Thirty cases of open-angle glaucoma with cataract who underwent phacoemulsification, PMMA phaco profile intraocular lens (IOL) implantation and trabeculectomy through same incision were critically evaluated. The mean controlled, preoperative intraocular pressure (IOP) was 20 mmHg (range, 18-35 mmHg) by the applanation method. Mean postoperative pressure after 12 months was 13 mmHg (range, 11-22 mmHg) and intraoperative hyphema and postoperative uveitis were noted problems. Periodic, postoperative optic disc and field evaluation remained static in 66% cases. A visual acuity of 6/12 or better was achieved in 60% cases. Failure to restore glaucoma control without medication was seen in 13.3% cases after nine to 12 months. The combined phacotrabeculectomy is an effective single step technique of managing concurrent glaucoma with cataract.
Dr J.K.S. Parihar, Department of Ophthalmology, Armed Forces Medical College, Pune-411 040, India
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
