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[Phacoemulsification combined with trabeculectomy from personal material]
Jerzy Szaflik1, Iwona Liberek, Anna Kamińska
1Katedry i Kliniki Okulistyki II Wydziału Lekarskiego Akademii Medycznej, Centrum Mikrochirurgii Oka, LASER w Warszawie.
Aim:
The aim of the study was to establish the efficiency of phacoemulsification combined with trabeculectomy in patients with cataract and glaucoma.
Material And Methods:
102 patients (112 eyes) with cataract and glaucoma, who were operated between 1998 and 2001. The follow up time--from 6 month to 3 years. Intraocular pressure (IOP), drug therapy and visual acuity were analysed.
Results:
Mean intarocular pressure after phacotrabeculectomy dropped from 21.6 mmHg to 14.9 mmHg. The average number of medications dropped from 2.6 to 1.2. Visual acuity improvement was achieved in 93.7% of the eyes.
Conclusions:
Phacoemulsification combined with trabeculectomy is safe and efficacious method of treatment of patients with coexisting cataract and glaucoma; shortens visual rehabilitation period and secures long-term postoperative IOP.
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