Surgery of cataract combined with glaucoma in management of glaucoma complicated cataract

Rui Yin, An-Zhen Mao, Xian-Hua Xie
unpublished
誗 AIM: To investigate the clinical effects of phacoemulsification with intraocular lens implantation and trabeculectomy in management of acute angle-closure glaucoma patients with cataract. 誗 METHODS: Twenty-six cases (26 eyes) with acute angle-closure glaucoma patients with senile cataract all underwent phacoemulsification with intraocular lens implantation and trabeculectomy, the visual acuity, intraocular pressure and anterior chamber depth variation and postoperative bleb morphology,
more » ... morphology, postoperative complications were observed. 誗RESULTS: Six months after operation, the visual acuity of 14 patients were 逸0. 5 and 10 patients were from 0. 12 to 0. 4, which were improved significantly compared with preoperative, the differences were significantly (P<0. 05) ; the mean intraocular pressure in postoperative 1 week, 3 months and 6 months were respectively 12. 5 依 1. 2mmHg, 14. 3 依 1. 5mmHg and 14. 6 依 1. 3mmHg respectively, which were lowered compared with the preoperative intraocular pressure, the differences were statistically significantly (P< 0郾 05). The postoperative central anterior chamber depth was significantly deepened and functional diffuse blebs were formed. The main complications were corneal edema and anterior chamber inflammation. 誗CONCLUSION: Phacoemulsification and intraocular lens implantation and trabeculectomy in management of acute angle-closure glaucoma with senile cataract is safe and effective with minor postoperative complications, which deserves clinical application and recommendation. 誗
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