Small-incision cataract extraction combined trabeculectomy for primary angle-closure glaucoma with cataract

• Main Authors: Yu-Feng Wu, Yun-Xia Mu, Lian-Jiao Quan
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2014-09-01
• Series: Guoji Yanke Zazhi
• Subjects: primary angle-closure glaucoma; cataract; intraocular lens implantation; trabeculectomy
• Online Access: http://www.ies.net.cn/cn_publish/2014/9/201409035.pdf

AIM: To observe the curative effect of treating small-incision cataract extraction by intraocular lens implantation combined with trabeculectomy for primary angle-closure glaucoma with cataract. <p>METHODS: Totally 44 cases(52 eyes)of primary angle-closure glaucoma combined with cataract were selected to undergo the combined surgery, in order to observe the patients' pre- and postoperative eyesights, intraocular pressures and the postoperative complications.<p>RESULTS: The postoperative eyesight was improved significantly as compared with the preoperative eyesight. The intraocular pressure was declined dramatically. The result was of statistical significance(<i>P<</i>0.05). All the 52 cases' surgeries were performed by the same surgeon. The surgeries were processed smoothly, with 6 postoperative eyes of anterior chamber inflammation cell response, 3 eyes of anterior chamber fibrinoid exudate, 2 eyes of shallow anterior chamber through mydriasis and treatment with glucocorticoids and non-steroidal eyedrops before absorption, and no complications like malignant glaucoma, cyclodialysis, <i>etc</i>. were reported through mydriasis and pressure bandaging before recovery.<p>CONCLUSION: Treating the primary angle-closure glaucoma combined with cataract through the combined surgery has high reliability and desirable curative effect. The surgical method is simple to learn and applicable for promotion on the basic level.