The Comparison between Planned Extracapsular Cataract Extraction and Phacoemulsification Lens Removal in Combined Proceducre of Glaucoma with Cataract Patients

ABSTRACT

Fourty-one glaucoma triple surgeries(Group I combined trabeculectomy, planned extracapsular cataract extraction(P-ECCE) 27 cases and Group II phacoemulsification and posterior chamber intraocular lens(PC IOL) implantation 14 cases) were reviewed. Preoperatively, the two groups did not differ significantly in terms of age, sex, or mean intraocular pressure(IOP). As comparaed with Group I, the Group II had earlier visual rehabilitation, and less postoperative IOP spikes(P<0.05), and needed less postoperative antiglaucoma medications. Other postoperative complications occurred more commonly in the Group I fibrinous iritis, posterior capsular opacity, encapsulated or flattened bleb, uncontrolled IOP etc. Compared to group II, these differences probably are attitutable primarily to the small incision used in phacoemulsification, which is associated with sustained anterior chamber depth during the operation, and to the reduction of tissue dissection, reducing the stimulus to wound healing and filtration failure.