Comparative Study of Combined Cataract Surgery in Primary Angle-Closure Glaucoma.
- Author:
Jin Bae MIN
1
;
Sung Min HYUNG
;
Sang Hyung CHO
Author Information
1. Department of Ophthalmology, College of Medicine, Chungbuk National University, Korea.
- Publication Type:Comparative Study ; Original Article
- Keywords:
Anterior chamber depth;
Combined cataract surgery;
Intraocular pressure;
Primary angle-closure glaucoma;
Trabeculectomy
- MeSH:
Anterior Chamber;
Cataract*;
Glaucoma;
Glaucoma, Angle-Closure*;
Humans;
Intraocular Pressure;
Trabeculectomy
- From:Journal of the Korean Ophthalmological Society
1999;40(9):2567-2574
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Trabeculectomy, as an operation precedure for glaucoman, decrease intraocular pressure(IOP)effectively. But the amount of decrease in IOP is different according to the etiology of glaucoma. Thirty four primary angle-closure glaucoma patients (37 eyes)who had undergone trabeculectomy only or trabeculecomy combined with cataract surgery and had been subsequently followed up for least 6 months, were enrolled in this study. In 12 patients(14 eyes) among 16 patients (18 eyes, Group 1) who had undergone trabeculecto-my only, IOP was controlled without glaucoma medication, while glaucoma medication was needed in the other 4 patients (4 eyes). Among 18 patients (19 eyes, Group 2) who had undergone trabeculectomy combined with cataract surgery, IOP were controlled without glaucoma medication 9 patients (10 eyes); controlled with medication in 8 patients (8 eyes); and not controlled even with 1 patient (1 eye). The amount of decrease in IOP was no statistically different between the two groups. Group 2 had deeper anterior chamber than Group 1 (p<0.01). The above results suggest that the combined pro-cedure may benefit in primary angle-closure glaucoma patients, especially old complicated patients.
