advertisement
Abstract #15607 Published in IGR 1-3
Long-term results of combined 1-way phacoemulsification, intraocular lens implantation, and trabeculectomy
Caporossi A; Casprini F; Tosi GM; Balestrazzi AJournal of Cataract and Refractive Surgery 1999; 25: 1641-1645
PURPOSE: To analyze the results of one-way phacoemulsification and posterior chamber intraocular lens (IOL) implantation combined with trabeculectomy. SETTING: Department of Ophthalmology and Neurosurgery, University of Siena, Siena, Italy. METHODS: This retrospective study comprised 42 eyes of 36 patients with glaucoma and cataract, who had phacoemulsification with posterior chamber IOL implantation combined with trabeculectomy. The mean follow-up of 28.24±10.99 months (SD) (range, 11-52 months) included measurement of intraocular pressure (IOP), visual acuity, visual field, endothelial cell loss, and notation of complications. RESULTS: There was a statistically significant postoperative improvement in visual acuity (p < 0.001). Mean preoperative best corrected visual acuity (BCVA) was 20/200 (range, 20/30 to hand movements). Mean one year postoperative BCVA was 20/30 (range, 20/20 to 20/60). The preoperative mean IOP of 24.06 mmHg decreased to 15.36 mmHg at one year (p < 0.001). All 42 eyes had a postoperative IOP of less than 21.00 mmHg. Mean central cornea endothelial cell density preoperatively was 2238±396 cells/mm2 (range, 1697-2906 cells/mm2) and, postoperatively, 2005±397 cells/mm2 (range, 1302-2801 cells/mm2). Early postoperative complications consisted of a choroidal detachment in two patients (4.76%). Three and four days after surgery, respectively, two patients (4.76%) had surgery to remove viscoelastic substance under the IOL. Late complications included posterior synechias in three eyes (7.14%). One year after surgery, because of a significant decrease in vision, a neodymium:YAG laser posterior capsulotomy was necessary in two eyes, one with an acrylic IOL (3.70%) and one with a silicone lens (9.09%). CONCLUSION: Combined phacoemulsification, posterior chamber IOL implantation, and trabeculectomy was safe and effective in patients with coexisting glaucoma and cataract.
Dr. A. Caporossi, Dipartimento di Scienze Oftalmologiche e Neurochirurgiche, Universita degli Studi di Siena, Siena; Italy
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
