Combined surgery for cataract and glaucoma: phacoemulsification, foldable intraocular lens implantation and viscocanalostomy.
- Author:
Ke YAO
1
;
Xing-chao SHEN-TU
;
Wen XU
;
Pei-qing CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Aged, 80 and over; Female; Filtering Surgery; methods; Glaucoma, Open-Angle; surgery; Humans; Intraocular Pressure; Lens Implantation, Intraocular; Male; Middle Aged; Phacoemulsification; Postoperative Complications; etiology; Visual Acuity
- From: Journal of Zhejiang University. Medical sciences 2004;33(1):73-76
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo assess the outcome of phacoemulsification-intraocular lens (IOL) implantation combined with viscocanalostomy (P-C group), compared with that of phacoemulsification-IOL implantation combined with trabeculectomy (P-T group).
METHODSCombined phacoemulsification with corneal incision, foldable intraocular lens implantation and viscocanalostomy was performed in 21 eyes of 19 cataract patients with primary open-angle glaucoma. All patients were followed up for 3 - 6 months.
RESULTIntraocular pressure (IOP) was significantly lower in both P-C group and P-T group (P=0.000). There was no statistically significant difference between two groups. Visual outcome was similar in both groups. Complications of P-C group included Descemet's membrane puncture in 2 eyes, Schlemm's tube puncture in 2 eyes and IOP spikes in 3 eyes (at 24 hours postoperatively). The P-C group experienced significantly less inflammation than the P-T group.
CONCLUSIONPhacoemulsification-IOL implantation combined with viscocanalostomy is a safe and effective surgery, with lower complicatin rate and easier ambulatory care.
