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Abstract #15610 Published in IGR 1-3
Combined cataract surgery, intraocular lens implantation, and viscocanalostomy
Gimbel HV; Anderson Penna EE; Ferensowicz MJournal of Cataract and Refractive Surgery 1999; 25: 1370-1375
PURPOSE: To describe two techniques of combined viscocanalostomy and phacoemulsification and report the results. SETTING: Gimbel Eye Centre, Calgary, Alberta, Canada. METHODS: Combined viscocanalostomy, phacoemulsification, and intraocular lens (IOL) implantation was performed in 83 eyes. A shared scleral incision was made in 46 eyes and a clear corneal incision separate from the viscocanalostomy site in 37 eyes. A retrospective review of these cases was performed. RESULTS: Intraocular pressure (IOP) was significantly lower in both groups two and eight weeks and six months postoperatively. The decline in IOP postoperatively over time was also comparable. There were no cases of hypotony, choroidal detachment, filtrating bleb, or postoperative cystoid macular edema in either group. Complications included IOP spikes in two eyes in the share-incision group at one day (to 43 and 30 mmHg, respectively). In the early shared-incision cases, there was one obvious Descemet's puncture in one eye and a torn scleral flap requiring extra suturing in another. CONCLUSIONS: Combined viscocanalostomy, cataract extraction, and IOL implantation was safe and efficacious in lowering IOP, whether a shared scleral incision or a separate clear corneal incision was used for phacoemulsification.
Dr. H.V. Gimbel, Gimbel Eye Centre, 450, 4935-40 Avenue NW, Calgary, Alberta T3A 2N1; Canada
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
