Résumé
Objective To evaluate the saf ety and efficiency of phacoemulsificatio n combined with intraocular lens implant and trabeculectomy in patients with glau coma and cataract after filtrating surge ry failure. Methods Thirty-two cases (32 eyes) patients underwent phacoemulsific ation combined with intraocular lens imp lant and trabeculectomy after filtrating surgery failure. Outcome measures inclu ded intraocular pressure (IOP) and visua l acuity. The followed-up periods rang ed from 6 months to 2 years. Results In 21 of the 32 eyes(66%),postoperative vi sual acuity were above 0.5. In 6 of the 32 eyes(18%),postoperative visual acuity were between 0.1 to 0.4. In 27 of 32 e yes(84.3%), postoperative IOP were between 12.23 to 20.55 mmHg. Conclusion phac oemulsification combined with intraocula r lens implant and trabeculectomy in patients with glaucoma and cataract after f iltrating surgery failure is a safe and effective treatment for these patients.