Results of Combined Procedures versus Two-Stage Operation using Small Incision in Patients with Cataract and Glaucoma.
- Author:
Sung Won BYUN
1
;
Chan Ki PARK
;
Tae Won HAHN
;
Man Soo KIM
Author Information
1. Department of Ophthalmology, Kangnam St.Mary`s Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Combined procedure;
Small incision;
Two-stage procedure
- MeSH:
Blister;
Cataract*;
Follow-Up Studies;
Glaucoma*;
Humans;
Hyphema;
Intraocular Pressure;
Trabeculectomy;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
1999;40(9):2561-2566
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To compare the result of small-incision combined procedure with that of two-stage procedure, the authors retrospec- tively reviewed 21 patients (23 eyes) who underwent small-incision combined cataract and glaucoma surgery (group 1) and 21 patients (23 eyes) who underwent small-incision cataract surgery after trabeculectomy (group 2). Intraocular pressure (IOP), visual acuity, bleb status, antiglaucoma medications and complications were analyzed.The mean follow-up period was 12.9 (2.3~30.1) months in group 1 and 13.9 (2.1~35.9) months in group 2. The mean preoperative IOP was 21.1 +/-6.6mmHg in group 1 and 26.6 +/-9 .3 mmHg in group 2. The mean postoperative IOP was 14.3 +/-3 .7 mmHg and 15.8 +/-3.1 mmHg in group 1 and 2, respectively. At last visit,13 eyes (56.5%) in group 1 and 12 eyes (52.2%)in group 2 had functioning blebs, and 21 eyes (91.3%) in group 1 and 17 eyes (73.9%) in group 2 had well controlled postoperative IOP without antiglaucoma medications.Rupture of posterior capsule,bleb site leakage, hypotony occurred in both groups; button hole (1 eye in group 1) and hyphema (2 eyes in group 2) were observed. These results indicate that the small-incisioncombined cataract and glaucoma surgery may be as safe and effective as the two-stage procedure.
