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Comparison of tilt and decentration between phacoemulsification and phacotrabeculectomy
Fatih Mehmet Mutlu1, Atilla Bayer, Cuneyt Erduman
1Department of Ophthalmology, Gulhane Military Medical Academy and Medical School, Ankara, Turkey. fmmutlu@hotmail.com
Purpose:
To determine the extent of intraocular lens (IOL) tilt and decentration values after combined surgery in patients with cataract and glaucoma.
Materials And Methods:
A total of 106 cataractous eyes undergoing IOL implantation were divided into 2 groups. Group 1 comprised 42 eyes undergoing phacotrabeculectomy surgery for cataract and primary open-angle glaucoma (POAG), and group 2 comprised 64 eyes undergoing phacoemulsification surgery for senile cataract. The length of IOL decentration and the angle of IOL tilt were quantitated by using Purkinje reflections and photographic documentation.
Results:
The differences regarding both the IOL tilt (2.84 +/- 0.37; 2.97 +/- 0.37, respectively) and decentration (0.39 +/- 0.27; 0.49 +/- 0.35, respectively) was insignificant (p > 0.05) between groups.
Conclusion:
There is no increased effect of phacotrabeculectomy on tilt and decentration of IOLs in eyes with POAG when compared with eyes which underwent phacoemulsification surgery.
