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Abstract #6281 Published in IGR 2-2
T-cut in the bottom of the scleral pocket in combined cataract and glaucoma surgery
Rossmann M; Harrer S; Rigal KJournal of Cataract and Refractive Surgery 2000; 26: 702-708
PURPOSE: To determine whether radial transsection of the inner lamina of the phaco tunnel (T-cut) allows intraocular pressure (IOP) control in cases of co-existing cataract and glaucoma, and to evaluate the results of this glaucoma triple procedure. SETTING: Department of Ophthalmology, Hanusch Hospital, Vienna, Austria. METHODS: In a prospective study, a T-shaped incision in the tunnel floor was performed in 43 eyes (group A); 48 eyes (group B) had phacotrabeculectomy (phacoemulsification and trabeculectomy of a 3.0 x 2.0 mm tissue block). RESULTS: At the end of a minimum follow-up of 24 months in group A (range 24 to 30 months) and of 28 months in group B (range 28 to 44 months), there was no significant difference in the extent of IOP reduction between groups. Intraocular pressure was well controlled (<=20 mmHg) without antiglaucoma therapy in 27 eyes (62.8%) in group A and 30 (62.5%) in group B. Eleven eyes (25.6%) in group A and 14 (29.2%) in group B achieved an IOP of 20 mmHg or less with antiglaucoma therapy. Five eyes (11.6%) in group A and four (8.3%) in group B required surgical revision. Complications included hypotony (group A, five eyes; group B, three eyes), hyphema (group A, eight eyes; group B, six eyes), malignant glaucoma (group B, one eye), in-the-bag hematoma (group B, one eye), and fibrin exudation (group B, one eye). CONCLUSIONS: Phacoemulsification with a T-cut in the tunnel floor was a safe and effective combined procedure and, in this regard, equivalent to phacotrabeculectomy.
Dr. M. Rossmann, Hanusch-Krankenhaus, Henrich-Collin-Strasse 30, A-1140 Vienna, Austria
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
