[Result of phacoemulsification and intraocular lens implantation combined with trabeculectomy in the treatment of glaucoma with cataract].
OBJECTIVE
The study was designed to investigate the application of Phacoemulsification and Intraocular Lens Implantation combined with Trabeculectomy (Phaco & IOL & T) for glaucoma with cataract.


METHODS
"Phaco & IOL & T" was performed on 45 eyes of 45 patients in comparing with the treatment of Extra Capsule Cataract Extration and Intraocular Lens Implantation combined with Trabeculectomy (ECCE & IOL & T) on 40 eyes of 40 patients. The average period of follow-up was six months.


RESULTS
The average Intra Ocular Pressure (IOP) in "Phaco & IOL & T" group was 2.08 kPa, astigmatism was 0.84 +/- 0.63 D and 84% of patients had the visual acuity > or = 1.0. The average IOP in "ECCE & IOL & T" group was 2.78 kPa, astigmatism was 1.54 +/- 0.67 D and 67.5% of patients had the visual acuity > or = 1.0 after three months of the operations. The difference was significant (P < 0.05). There was no severe complications in "Phaco & IOL & T" group while there was 9 cases with flat filtration pad in "ECCE & IOL & T" group.


CONCLUSIONS
The method of "Phaco & IOL & T" is more efficient and safe than that of "ECCE & IOL & T". It should be the first consideration in the management of glaucoma with cataract.
Zhou
H
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Ningbo Jiangdong Ophthalmic Hospital, Ningbo 315040, China.
D000368:Aged; D000369:Aged, 80 and over; D001251:Astigmatism / Q000209:etiology; D002386:Cataract / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects; D014130:Trabeculectomy / Q000009:adverse effects; D014792:Visual Acuity