Phacotrabeculectomy with or without punch: preliminary results comparing the two techniques.
The authors report their experience in the combined surgery, for glaucoma and cataract, by using the Crozafon-De Laage punch. 24 patients affected by open-angle glaucoma and cataract have been enrolled in the study. 12 underwent a combined operation of phacoemulsification and trabeculectomy according to Cairns, and 12 underwent phacoemulsification and protective filtering surgery executed with the Crozafon-De Laage punch. Comparing the two methods we noted as advantage of the punch its easiness of use, through the sclerocorneal tunnel of the phacoemulsification, to create a filtering fistula; this shortened the duration of surgery. As a disadvantage of punch use we noted a lower filtering gradability as opposed to Cairns' trabeculectomy.
Crestani
A
A
Divisione Oculistica, ULSS, Schio, Italia.
De Natale
R
R
Steindler
P
P
D000328:Adult; D000368:Aged; D002386:Cataract / Q000150:complications*; D004867:Equipment Design; D005260:Female; D005902:Glaucoma, Open-Angle / Q000150:complications / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000295:instrumentation / Q000379:methods*; D014130:Trabeculectomy / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D014792:Visual Acuity