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Combined phacoemulsification and trabeculectomy with mitomycin-C
1Wheeling Eye Institute, WV 26003, USA.
Ophthalmic Surgery and Lasers
|September 26, 1997
Summary
Combined phacoemulsification and trabeculectomy with mitomycin-C effectively lowers intraocular pressure and improves vision in glaucoma patients. This procedure reduces medication dependence, though potential complications like bleb leaks and hypotony maculopathy require consideration.
Area of Science:
- Ophthalmology
- Glaucoma Surgery
- Cataract Surgery
Background:
- Cataract and glaucoma often coexist, complicating treatment.
- Effective management requires addressing both conditions simultaneously.
Purpose of the Study:
- To assess the efficacy of combined phacoemulsification and trabeculectomy with mitomycin-C.
- Evaluate visual rehabilitation and intraocular pressure (IOP) control.
Main Methods:
- Retrospective study of 20 eyes (19 patients) with various glaucoma types and cataracts.
- Phacoemulsification with intraocular lens implantation and trabeculectomy using mitomycin-C.
Main Results:
- Mean IOP reduced from 19.2 to 13.4 mm Hg (P = .0004).
- Medication use decreased from 2.3 to 0.2 drugs (P < .0001).
- Visual acuity improved significantly (P < .0005), with a mean improvement from 20/91 to 20/40.
Conclusions:
- Combined surgery is effective for managing coexisting cataract and glaucoma.
- Offers good visual improvement and long-term IOP control with reduced medication needs.
- Potential complications include bleb leaks and hypotony maculopathy, necessitating careful consideration.