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[Posterior chamber intraocular lens implantation in filtered glaucoma eyes]
1Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou, China.
Purpose:
To investigate the method of cataract extraction with posterior chamber intraocular lens implantation in eyes that had undergone glaucoma filtering surgery and its effect on filtering bleb.
Methods:
Extracapsular cataract extraction with posterior chamber intraocular lens implantation was performed in 21 eyes with a preexisting filtration bleb, in which a lateral and inferior lateral limbal incison was selected, the pupil sphinctor was cut and the iris was sew for the small and fixed pupil.
Results:
the postoperative visual acuity of all patients was improved in different degrees, with 0.5 or better in 76.19% of the eyes. The postoperative IOP increased by 0.41 kPa. The functional filtering bleb was not apparently cicatrized.
Conclusions:
Filtered glaucoma eyes with cataract can improve visual acuity and maintain the functional filtered bleb by extracapsular cataract extraction with posterior chamber intraocular lens implantation with lateral or inferior lateral limbal incision.