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Abstract #6919 Published in IGR 4-1
Outcome of combined phacoemulsification, intraocular lens implantation and viscocanalostomy
Park M; Tanito M; Chihara ENippon Ganka Gakkai Zasshi 2002; 106: 173-177
PURPOSE: To assess the pressure-lowering effect, visual acuity, and intra- and postoperative complications of combined cataract surgery, intraocular lens (IOL) implantation and viscocanalostomy. METHODS: Combined viscocanalostomy, phacoemulsification, and IOL implantation was performed on 45 eyes, which were followed for more than six months after surgery. The average preoperative intraocular pressure (IOP) was 20.2 ± 3.1 (mean ± standard deviation) mmHg, and the average medication number 1.7. A prospective study of these cases was performed. RESULTS: IOP was significantly reduced after surgery, being 13.6 mmHg at three months and 15.1 mmHg at six months postoperatively. The visual acuity was improved by more than two lines in 38 eyes. Disruption of Descemet's membrane was noted in five eyes and microperforation in nine as intraoperative complications. Postoperative complications were not vision-threatening and included short-term hyphema in 34 eyes, fibrin deposition in five eyes, and IOP spike (> 5 mmHg) in five. There were no cases of hypotony, choroidal detachment, or endophthalmitis. CONCLUSION: Combined viscocanalostomy, cataract extraction, and IOL implantation was a safe and efficacious way of reducing IOP.LA: Japanese
Dr. M. Park, Sensyo-kai Chihara Eye Institute, Japan
Classification:
12.8.3 Non-perforating (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
