Corneal Incision Phacoemulsification and Trabeculectomy: combined Surgery at Separated site
Journal of the Korean Ophthalmological Society
; : 105-110, 1997.
Article
em Ko
| WPRIM
| ID: wpr-62821
Biblioteca responsável:
WPRO
ABSTRACT
We reviewed 9 eyes which underwent combined phacoemulsification and trabeculectomy at separate site. Phacoemulsification was performed using corneal incision and trabeculectomy was performed at one superior quadrant using a limbus-based conjunctival flap with mitomycin C(0.2mg/ml, 3-5 minutes). Six eyes received 3-piece folable silicone lenses and 3 eyes received 1-picec PMMA(diameter 5.5mm) lenses. Mean preoperatie intraocular pressure (IOP) was 23.4+/-8.7mmHg. Mean follow-up period was 12.7(range 6-21)months. The mean postoperative IOP at 1, 6, 12 months were 14.6+/-4.8mmHg, 13.8+/-4.4mmHg, 16.6+/-6.8mmHg, respectively. Seven eyes achieved a final fisual acuity of 0.7 or better. One patient developed vision-impairing complications; flat anterior chambe and anterior dislocation of silicone lens. Other complications include posteror synechiae(4 eyes), capsular opacities (3 eyes), lens decentration with capsular contracture(1 eye). These rusults suggest that combined corneal incision phacoemulsification and trabeculectomy at separate site offers an effective technique to control postoperative intraocular pressure in patients with coexsisting cataract and glaucoma, though this procedure is not devoid of complications.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Silicones
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Catarata
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Trabeculectomia
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Glaucoma
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Seguimentos
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Mitomicina
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Facoemulsificação
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Luxações Articulares
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Pressão Intraocular
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
Ko
Ano de publicação:
1997
Tipo de documento:
Article