Abstract
Objective To assess the efficacy of cataract phacoemulsification and aspiration,intraocular lens implantation combined with endoscopic cyclophotocoagulation in uncontrolled late stage glaucoma after anti-glaucoma surgery combined with cataract.Methods Prospective case series.66 eyes of 65 patients with uncontrolled glaucoma combined with cataract of Beijing Tongren Hospital during July 2010 and June 2012 underwent cataract phacoemulsification and aspiration and endoscopic cyclophotocoagulation.The preoperative visual acuity and intraocular pressure (IOP) were analyzed,as were the visual acuity and intraocular pressure of 1 d,3 d,1 week and the last follow-up postoperation.The numbers of preoperative and postoperative anti-glaucoma agents were recorded.Complications during and after operation were recorded.Results The preoperative IOP was (28.4 ± 10.3) mm Hg (1 mm Hg =O.133 kPa) using maximum amount of anti-glaucoma agents while the IOP of last follow-up was (15.2 ±4.1) mm Hg.The reduction was 46.5％ and there was statistical significance (P ＜ O.001).The preoperative visual acuity was NLP ～ O.5,The visual acuities of the last follow-up were improved in 49 eyes (74.2％) and 16 eyes (24.2％) remained the same as preoperative vision.One eye decreased slightly (from 0.04 to 0.02) (1.5％).There was statistical significance between preoperative and postoperative visual acuity(P ＜ 0.001).The number of preoperative local anti-glaucoma agents was 3.58 ± 0.84 while that of last follow-up was 0.12 ± 0.48.There was statistical significance (P ＜ 0.001).No choroidal detachment or expulsive haemorrhage occurred during operation.No hypotony,phthisis bulbi,endophthalmitis or macular edema occurred at the last follow-up.Conclusion Cataract phacoemulsification and aspiration combined with endoscopic cyclophotocoagulation to treat uncontrolled late stage glaucoma combined with cataract is effective and safe. Key words: Endoscope; Glaucoma; Cataract ; Cyclophotocoagulation; Phacoemulsification
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Chinese Journal of Ocular Trauma and Occupational Eye Disease
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
