Combined Phacoemulsification, Posterior Chamber Lens Implantation and Trabeculectomy in Advanced Glaucoma Patients
Journal of the Korean Ophthalmological Society
;
: 585-592, 1997.
Artículo
en Coreano
| WPRIM
| ID: wpr-159458
ABSTRACT
The treatment of the patients with coexisting cataract and glaucoma is various. It is possible that small conjuntival and scleral incisions, minimal conjunctival dissection, and less ocular inflammation could decrease wound healing stimuli.So, we studied the results of combined phacoemulsification, posteior chamber lesn implantation and trabeculectomy with or without mitomycin C (MMC) in advanced glaucoma patients with coexisting cataract. The preoperative, postoperative 1months and last follow-up intraocular pressures (mean+/-standard deviation) were 23.4+/-8.29, 12.8+/-2.95 and 14.1+3.37mmHg, respectively. Mitomycin C was applied to 13 eyes in high risk group offiltering bleb failure during the combined operation. The amount of postoperative intraocular pressure decrease was not significantly different between two groups. The preoperative and postoperative last follow-up visual acuities (mean) wer 20/200 and 20/30 in bot group, respectively. The complications were corneal epithelial defect, hyphema and posterior subcapsular opacity. But there wer no hypotony with symptomatic maculopathy and bleb leakage. Therefore combined phacoemulsification, posterior chamber lens implantation and trabeculectomy with or without mitomycin C appears to be a safe and effective surgical technique for treating advanced glaucoma patients with coexisting cataract.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Cicatrización de Heridas
/
Catarata
/
Hipema
/
Trabeculectomía
/
Agudeza Visual
/
Glaucoma
/
Estudios de Seguimiento
/
Vesícula
/
Mitomicina
/
Facoemulsificación
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Año:
1997
Tipo del documento:
Artículo
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