Clinical Evaluation of Combined Surgery in Coexisting Glaucoma and Cataract (II).

Kim, Jae Do; Baek, Nam Ho

Original Article

Journal of the Korean Ophthalmological Society 1992;33(12):1174-1180.
Published online December 1, 1992.

Clinical Evaluation of Combined Surgery in Coexisting Glaucoma and Cataract (II).

Jae Do Kim, Nam Ho Baek

Department of Opthalmology, Catholic University Medical College Seoul, Korea.

백내장과 녹내장의 병용 수술에 관한 임상적 고찰 ( 제 2 보 )

김재도(Jae Do Kim),백남호(Nam Ho Baek)

Abstract

We reviewed 39 consecutive cases of extracapsular cataract extraction and with or without posterior chamber intraocular lens implantation combined with trabeculectomy in 35 glucoma patients. In 26 (66.7%) of the 39 cases, intraocular lens was implanted. The mean preoperative intraocular pressure was 26.3mmHg on glaucoma medications Postoperatively, the average intraocular pressure was 15.5mmHg which was 1O.8mmHg(41.5%) lower than the preoperative level. Visual acuity improved in 37 eyes (94.9%) with an average improvement of 4.3 lines at postopertive 6 months. The postoperative complications are hyphema (5 yeyes. 12.8%), shallow anterior chamber (3 eyes, 7.7%), fibroexudative membrane (3 eyes, 7.7%) and endophthalmitis(1 eye, 2.6%).

Key Words: Cataract;Combined surgery;Glaucoma