Clinical Results of Sutureless Phacotrabeculectomy.
- Author:
Jae Woo KIM
1
;
Chul Ho PARK
;
Chang Wook HAN
Author Information
1. Department of Ophthalmology, School of Medicine, Catholic University of Taegu-Hyosung, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Combined surgery;
Self-sealing scleral tunnel incision;
Sutureless phacotrabeculectomy
- MeSH:
Blister;
Cataract;
Glaucoma;
Glaucoma, Angle-Closure;
Glaucoma, Open-Angle;
Humans;
Hyphema;
Postoperative Complications;
Prospective Studies;
Rupture;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
1996;37(5):739-745
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We performed the prospective study on the clinical result of sutureless phacotrabeculectomy using 3.0mm ~ 6.5mm self-sealing scleral tunnel incision. This study included 9 eyes of 8 patients who have been suffering from chronic angle-closure glaucoma or chronic open-angle glaucoma with coexisting cataract. The mean preoperative intraocular pressure(IOP) was 28.55mmHg and mean postoperative IOP was 15.55mmHg. The IOP maintained below 19mmHg in all cases after 6 months. The number of medications decreased from 1.77 preoperatively to 0.33 postoperatively. No medication needed in 7 eyes postoperatively. The mean preoperative cup-disc ratio was 0.64. Visual acuity improved in 8 eyes and 5 eyes recovered to 20/40 or better. The blebs were visible in 8 cases which shows low diffuse in character in most cases. Postoperative complications were hypotony in 5 cases, hyphema in 1 case, partial posterior capsular rupture in 1 case and posterior capsular opacification in 1 case respectively. This result suggests that sutureless phacotrabeculectomy may be performed as safe and effective combined procedure in the management of coexisting cataract and glaucoma.
