Preliminary Observation of One-site Combined Trabeculectomy and Phacoemulsification in the Managemen

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Purpose: To evaluate the effect of one-site combined phacoemulsification and trabeculectomy in the management of cataract patients with drug-controllable glaucoma. Methods : Twenty-four cases (25 eyes) of cataract patients with glaucoma whose intraocular pressure could be controlled by drugs were observed. All had undergone one-site combined phacoemulsification and trabeculectomy. Intraocular pressure and visual acuity were observed.Results: The follow-up was 1-21 months. Postoperative visual acuity was 0.4-0.6 in 9 eyes, 0.7-0.9 in 7 eyes and 1.0 or better in 9 eyes. Postoperative intraocular pressure was 2.17±0.764kPa (16.28±5.73mmHg), 1.83±0.90kPa (13.74 ± 6. 77mmHg) lower than that before surgery (t= 11.89, P<0.01). Only one eye needed one drug to control intraocular pressure after surgery.Conclusions:One-site combined phacoemulsification and trabeculectomy is a safe, effective and convenient technique for the management of cataract patients with drug-controllable glaucoma. . Eye Science 1999 ; Purpose: To evaluate the effect of one-site combined phacoemulsification and trabeculectomy in the management of cataract patients with drug-controllable glaucoma. Methods: Twenty-four cases (25 eyes) of cataract patients with glaucoma that intraocular pressure could be controlled by drugs were Observed. All had undergone one-site combined phacoemulsification and trabeculectomy. Intraocular pressure and visual acuity were observed. Results: The follow-up was 1-21 months. Postoperative visual acuity was 0.4-0.6 in 9 eyes, 0.7-0.9 in 7 eyes and 1.0 or better in 9 eyes. Postoperative intraocular pressure was 2.17 ± 0.764 kPa (16.28 ± 5.73 mmHg), 1.83 ± 0.90 kPa (13.74 ± 6.77 mmHg) lower than that before surgery (t = 11.89, P <0.01). Only one eye needed one drug to control intraocular pressure after surgery. Conclusions: One-site combined phacoemulsification and trabeculectomy is a safe, effective and convenient technique for the management of cataract patients with drug-controllable glaucoma.. E ye Science 1999;
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