title: Microincision bimanual phacotrabeculectomy in eyes with coexisting glaucoma and cataract.
abstract: OBJECTIVE
  To report the technique and surgical outcomes of microincision bimanual phacotrabeculectomy in eyes with glaucoma and coexisting cataract.
  
  
  METHODS
  Glaucoma Service, Hong Kong Eye Hospital, Hong Kong SAR, China
  
  
  METHODS
  Microincision bimanual phacoemulsification with a sleeveless phaco needle and irrigating chopper was performed in combination with trabeculectomy. Phacoemulsification was performed through 2 small clear corneal wounds, sparing the trabeculectomy site from trauma. The intraocular lens (IOL) was then implanted through the trabeculectomy site, so no corneal wound larger than 1.5 mm was required for IOL implantation.
  
  
  RESULTS
  The first 10 consecutive eyes of 10 patients who had combined phacotrabeculectomy by a microincision bimanual technique had significantly reduced intraocular pressure. There was a 10.5% reduction in the mean corneal endothelial cell count. There were no other complications up to 6 months after surgery.
  
  
  CONCLUSIONS
  Microincision bimanual phacotrabeculectomy appeared to be an effective and safe option in patients with glaucoma and coexisting cataract.
authors.affiliation: Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, China. clem-tham@hkstar.com
authors.forename: Clement C Y
authors.initials: CC
authors.lastname: Tham
authors.forename: Felix C H
authors.initials: FC
authors.lastname: Li
authors.forename: Dexter Y L
authors.initials: DY
authors.lastname: Leung
authors.forename: Yolanda Y Y
authors.initials: YY
authors.lastname: Kwong
authors.forename: Doris W F
authors.initials: DW
authors.lastname: Yick
authors.forename: Dennis S C
authors.initials: DS
authors.lastname: Lam
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications* / Q000628:therapy; D005260:Female; D005901:Glaucoma / Q000150:complications* / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D018918:Phacoemulsification / Q000379:methods*; D014130:Trabeculectomy / Q000379:methods*; D016896:Treatment Outcome; D014792:Visual Acuity