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Abstract #8767 Published in IGR 5-1
Longterm outcome of simultaneous phacoemulsification-aspiration, intraocular lens implantation and trabeculotomy with or without sinusotomy
Ochiai Y; Ochiai HJapanese Journal of Clinical Ophthalmology 2003; 57: 131-135
The authors reviewed the outcome of simultaneous cataract and glaucoma surgery in 326 eyes. The series comprised 278 primary open-angle glaucoma eyes and 48 capsular glaucoma eyes. Cataract surgery was performed by phacoemulsification-aspiration with intraocular lens implantation. Trabeculotomy was performed in 224 eyes and trabeculotomy with sinusotomy in 102 eyes. After surgery, intraocular pressure (IOP) was significantly lower than the preoperative level in all the eyes (p < 0.001) except on day 1 in the trabeculotomy group. At 42 months of surgery, the IOP remained below 18 mmHg in 64% in trabeculotomy group and in 98% in sinusotomy group. The IOP remained below 16 mmHg in 21% in the former and in 72% in the latter. The difference between the two groups was significant until 30 months after surgery (p < 0.001) and 36 months after surgery (p < 0.02). The findings show that cataract surgery with trabeculotomy and sinusotomy is useful for eyes with cataract and glaucoma.LA: Japanese
Dr. Y. Ochiai, Shin-nagata Eye Institute, 4-2-11 Udetsuka-cho, Nagata-ku, Kobe-shi, 653-0036, Japan
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
