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Abstract #6279 Published in IGR 2-2
Phacotrabeculectomy without suturing, intermediate results
Kownacki JD; Artaria LGKlinische Monatsblätter für Augenheilkunde 2000; 216: 250-255
BACKGROUND: To study the medium-term success rate of a simple surgical technique for the combined operation of cataract and glaucoma. MATERIAL AND METHODS: In 50 patients with cataract and various types of glaucoma, 55 eyes underwent a combined operation for cataract and glaucoma and were followed up for at least 6.5 months. The phacoemulsification was performed through a scleral tunnel. After implantation of a foldable IOL, an inverse T incision of the tunnel floor was performed to create valve mechanism closure. RESULTS: In 45 eyes (83%), the intraocular pressure was controlled without medication during the follow-up. In ten cases (17%), new glaucoma medication was introduced postoperatively. The following early postoperative complications were noted: early intraocular hypertension (20.0%), wound leakage (20.0%), early intraocular hypotension (10.9%), hyphema (19.1%). CONCLUSIONS: No-stitch phacotrabeculectomy appears to be a safe and (medium-term) effective procedure for the combined surgery of cataract and glaucoma. LA: German
Dr. J.D. Kownacki, Clinica Oculistica, Ospedale Regionale, 6900 Lugano, Switzerland
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
