Triple Procedure for Phacoemulsification, Foldable IOL Implant and Trabeculectomy with Mitomycin-C.
- Author:
Hong Seok KEE
1
;
Yong Yun CHO
;
Chang Yong RHEE
;
Yeon LEE
Author Information
1. Lee`s Eye Clinic.
- Publication Type:Original Article
- Keywords:
small incision phacoemulsification;
Foldable lens;
Fornix based trabeculectomy;
Mitomyincin-C
- MeSH:
Blister;
Cataract;
Follow-Up Studies;
Glaucoma;
Humans;
Mitomycin*;
Optic Nerve;
Phacoemulsification*;
Trabeculectomy*;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
1999;40(3):803-809
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The purpose of our study is to evaluate the visual, refractive and IOP results following combined small incision phacoemulsification, foldable lens implantation, and fornix based trabeculectomy with Mitomycin-C. Seventy-six eyes of 64 patients with cataract and glaucoma had undergone the combined procedure. Minimal follow-up period was 6 months(mean 12.8+/-4.8 months). All the eyes that were free of preexisting macular disease and endstage glaucomatous optic nerve damage demonstated significant improvement in visual acuity. Postoperative astigmatisn was negligible(-0.41diopters). The average IOP reduction was 7.7mmHg. Functioning filtrating bleb persisted in 76.3% of the eyes. Complications with this method were not significant compared with other studies reporting the combined procedure. The small incison phacotrabeculectomy with mitomycin-C technique that we describe appears to be effective in early restoration of visual acuity and reduction of IOP without significant complications.