Preliminary observation of one-site combined trabeculectomy and phacoemulsification in the management of cataract patients with drug-controllable glaucoma.
OBJECTIVE
To evaluate the effect of one-site combined phacoemulsification and trabeculectomy in the management of cataract patients with drug-controllable glaucoma.


METHODS
Twenty-four cases (25 eyes) of cataract patients with glaucoma whose intraocular pressure could be controlled by drugs were observed. All had undergone one-site combined phacoemulsification and trabeculectomy. Intraocular pressure and visual acuity were observed.


RESULTS
The follow-up was 1-21 months. Postoperative visual acuity was 0.4-0.6 in 9 eyes, 0.7-0.9 in 7 eyes and 1.0 or better in 9 eyes. Postoperative intraocular pressure was 2.17 +/- 0.764 kPa (16.28 +/- 5.73 mmHg), 1.83 +/- 0.90 kPa (13.74 +/- 6.77 mmHg) lower than that before surgery (t = 11.89, P < 0.01). Only one eye needed one drug to control intraocular pressure after surgery.


CONCLUSIONS
One-site combined phacoemulsification and trabeculectomy is a safe, effective and convenient technique for the management of cataract patients with drug-controllable glaucoma.
Zou
Y
Y
Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
Lin
Z
Z
Peng
D
D
Li
S
S
D000368:Aged; 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; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods; D014130:Trabeculectomy / Q000379:methods; D014792:Visual Acuity