40 patients (51 eyes, 17 males, 23 females) having cataract combined open or closure angle glaucoma have been operated by phaco technique, implant IOL and trabeculectomy. Average of age is 70.3, AV less than 1/10 in 40 eyes (78.4%). Pre-operative lOP is 29.57+- 5.05 mmHg. 41 eyes (80.4%) had angle closuse and 10 eyes (19.6%) had open angle glaucoma. 48 eyes (94.1 %) had advanced and severe glaucoma. Post operation, good bleb filtration in 94.12% and had no case of failure bleb. The anterior chamber well recupere in 92%. By 1 to 6 months after operation, AV is stable, with 67% had vision acuity more than 5/10. 100% IOP regulated. Most of complications present in angle closuse glaucoma at severe period with high IOP. There are no severe intra and post-operative complication.
Lens Implantation, Intraocular, Trabeculectomy, Glaucoma, Contact Lenses

Subjects: patients with cataract indicated surgical treatments at the Semi-official Department, Central Eye Hospital from August 2003 to June 2004. 46 patients (13 male, 33 female, aged from 33 to 83) with 46 cataract eyes have been operated by phacoemulsification techniques and fodable implantation. Results: 42 operated eyes (91.3%) have vision acuity ≥5/10. The pre- and post-operative complications were rare and mild, and could be managed by topical drugs. There was 1 eye with capsule contraction syndrome 3 months after operation and 2 eyes with posterior capsule opacification 6 months after operation. Phacoemulsification techniques and foldable implantation is safe and efficacy for the treatment of cataract.
Cataract ; Therapeutics ; Phacoemulsification

In the Central Institute of Ophtalmology from January to September 2003, 35 patients with glaucoma and cataract underwent a surgery for removing lense and replacing cristallina in combining with treating glaucoma. After follow-up of 10 days, 1 month, 3 months and 6 months, the results of crushing of cristalline and placing artificial lense, cristalline in combining with sclerotabeculectomy had regulated interral optic pressure in 100% of cases with a reducing level of 12mmHg. There was not any case of recurrent. Visual acuity was rehabilitated quickly and consisitently, 66.7% of cases reached an acuty of > 5/10.
Phacoemulsification ; Lens Implantation, Intraocular ; Trabeculectomy

75 patients (75 eyes) with endogenous endophthalmitis were treated at Department of Glaucoma, National Hospital of Ophthalmology from 01 January 2004 to 31 December 2004. Results: Endogenous endophthalmitis occurred in 0.13% of all cases at Department of Glaucoma and approximately 1% of hospitalized patients. It is more common in male than in female (58.67% vs 41.33%). The mean age is 37.31± 20.14. Patients under 30 years old present a high rate (49.33%). The right eye infection is more often than the left eye (54.67% vs 45.33%). No case of bilateral involvement is detected. 57.3% of all cases are cultivator. Endogenous endophthalmitis is mostly detected from October to December (46.67%). Gram(+) bacteria are the most common pathogens (45.7%). Fungal infection is the least frequent cause. The outcome of treatment for endogenous endophthalmitis is limit, with 57.33% has visual acuity limited to light perception or totally blind. Retinal detachment appears in 10.67% of all cases. 2.67% has ocular atrophy and 18.67% require the necessity for enucleation
Endophthalmitis ; Therapeutics

A prospective, non-control study was conducted on 31 eyes (24 patients: 7 male, 17 female) having cataract in eyes with severe myopia (≥ 26mm) have been treated by phacoemulsification technique and implantation of intraocular posterior chamber lens with suitable capacity. Results: 58% cases achieved visual acuity of 5/10 or better. The mean preoperative spherical equivalent was -15.84% ± 3.1D and the mean postoperative spherical equivalent was -0.95 ± 2.7D. The operation can be done without difficulties, especially if lens do not have much opaque, nucleus of lens is not too hard and have pink light of pupil. Intraoperative and postoperative complications were few. Posterior capsule opaque was the commonest complication (9.7%). 2 eyes have uveitis and 1 eye with corneal edema, both were completely resolved by topical treatment without sequelae. Phacoemulsification and implantation of intraocular posterior chamber lens with suitable capacity is safe and efficient method for the treatment of cataract in eyes with severe myopia
Phacoemulsification ; Myopia ; Eye

This study comprised 9 eyes with severe myopia of 7 patients (4 male, 3 female) between 36 and 50 years, having phacoemulsification, intraocular lens implantation with suitable capacity. Follow up duration was 12 months. Results: the preoperative uncorrected visual acuity was < 1/10 in all patients. Postoperatively, 55.5% cases with uncorrected visual acuity and 66.7% cases achieved the best corrected visual acuity of 5/10 or better. The mean preoperative hyperopic spherical equivalent was +6,89 ± 1,67D reduced to +0,75±0,62D. Postoperative complications were low: 1 eye had posterior capsule opaque (11,1%), 1 eye had inflammatory membrane. No intraoperative complications
Hyperopia ; Therapeutics

A prospective study was conducted on 56 patients (56 yes) who underwent trabeculectomy to treat glaucoma and had blurred vision due to cataract. Most patients were 70-80 years old (60.7%). Patients with closed-angle glaucoma were 80.4%. Majority of eyes (42 eyes, 74.8%) had bad visual acuity (<1/10). Postoperatively, 23 eyes (41%) achieved visual acuity from 3/10 to 7/10. Between 1 and 6 months postoperative, visual acuity improved significantly and quite stable during follow-up period with 30 eyes (53.5 %) achieved acuity of 5/10 or better. One month after operation, there were 30 eyes (54.2%) with intraocular pressure<18mmHg and 26 eyes (45.8%) with previous inflammation discharged membrane, disengage or cutting the pupil edge, all are mechanic effects which affect to cornea endothelium and iris
Phacoemulsification ; Trabeculectomy

40 patients (51 eyes, 17 males, 23 females) having cataract combined open or closure angle glaucoma have been operated by Phaco method, implant IOL and trabeculectomy at Ophthalmology Hospital from January to September 2003. The results: Phaco method, implant IOL combined with trabecolectomy have a good effect in regulating IOP. 100% IOP regulated, mean reducing of IOP are 12mmHg. After 6 months periods, no recurrent case of IOP. Post operation, sight improves fast, good and very stable. Sight rate gained 5/10 (66.7%)
Surgery ; Eye ; Trabeculectomy

30 patients with malposition of IOL were operated (30 eyes, 12 males, 18 females), in which 5 eyes with the IOL dropped in the vitreous cavity, 13 eyes with the decentration of IOL, 12 eyes with the IOL displaced into the pupil. Especially, 16 eyes with early severe malposition of IOL after operation 2 weeks. After operation, 29 eyes with the reposition of IOL were centrated. However, after 12 months 9 eyes with recurrent of malposition of IOL. Especially, 16 eyes were operated in early postoperation stage by I and III methods showed good results. These eyes with recurrent of malposition of IOL were operated in late postoperation stage
Eye ; Therapeutics ; Surgery

Background: aaP, aggR, and astA have been found to play important roles in diarrheal pathogenecity of EAEC. They may be exist in other diarrheagenic E.coli (DEC). Objectives: To determine the distribution of aaP, aggR, and astA in ETEC, EPEC, EIEC and non-diarrheagenic E.coli. Subjects and method: 75 strains of ETEC, EPEC, EIEC and 100 non-DEC have been screen by PCR with primers specific toaaP, aggR, and astA. Results: aaP, aggR, and astA have been seen in DEC with the prevence from 7 to 72,7%. The highest prevence was in EIEC, 72,7% for aap; 45,5% in EIEC for aggR; and 50% in ETEC for astA. 14% of non-DEC harbored aggR and more than 30% harbored aap and astA. Conclusion: This finding has contributed to understanding the distribution of aap, aggR and astA in ETEC, EPEC, EIEC and non-DEC as well.
Enterotoxigenic Escherichia coli ; Enteropathogenic Escherichia coli ; Escherichia coli ;