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[Analysis of combined glaucoma and cataract operations with intraocular lens implantation: a study based on own
1Oddziału Okulistycznego Szpitala Wojewódzkiego im. Jana Pawła II w Bełchatowie.
Purpose:
To analyse results and complications of glaucoma and cataract surgery with IOL implantation.
Material And Methods:
28 patients (32 eyes) underwent glaucoma and cataract surgery with IOL implantation during the period of January 1998-December 1999. The follow up time ranged from 6 to 30 months.
Results:
Postoperative visual acuity was 5/12-5/5 in 78.13% of cases. Intraoperatively there were 4 patients of posterior capsule tears with vitreous loss. The most common postoperative complications were Descemet's membrane folds (28.13%), corneal oedema (21.87%) and increased intraocular pressure (18.75%), but they were only transitory. Finally postoperative intraocular pressure was good in 93.76%. In 2 cases glaucoma medication was longer required. Delayed follow-up showed that visual field deteriorated before surgery had not worsened.
Conclusions:
Combined, simultaneous operation of glaucoma and cataract does not seem to give rise to more complications than both procedures performed separately. The procedure is safe and gives good visual rehabilitation.