| Combined Phacoemulsification, Posterior Chamber Lens Implantation and Trabeculectomy in Advanced Glaucoma Patients. |
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Hae Song Park, Young Ghee Lee, Ho Kyum Kim, Young Jae Hong |
1The Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea.
2Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea. |
| 진행된 녹내장 환자에서 수정체유화술,인공수정체삽입술과 섬유주절제술의 병행수술 |
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박혜성(Hye Sung Park),이영기(Young Ghee Lee),김호겸(Ho Kyum Kim),홍영재(Young Jae Hong) |
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| Abstract |
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The treatment of the patients with coexisting cataract and glaucoma is various. It is possible that small conjuntival and scleral incisions, minimal conjunctival dissection, and less ocular inflammation could decrease wound healing stimuli.So, we studied the results of combined phacoemulsification, posteior chamber lesn implantation and trabeculectomy with or without mitomycin C (MMC) in advanced glaucoma patients with coexisting cataract. The preoperative, postoperative 1months and last follow-up intraocular pressures (mean+/-standard deviation) were 23.4+/-8.29, 12.8+/-2.95 and 14.1+3.37mmHg, respectively. Mitomycin C was applied to 13 eyes in high risk group offiltering bleb failure during the combined operation. The amount of postoperative intraocular pressure decrease was not significantly different between two groups. The preoperative and postoperative last follow-up visual acuities (mean) wer 20/200 and 20/30 in bot group, respectively. The complications were corneal epithelial defect, hyphema and posterior subcapsular opacity. But there wer no hypotony with symptomatic maculopathy and bleb leakage. Therefore combined phacoemulsification, posterior chamber lens implantation and trabeculectomy with or without mitomycin C appears to be a safe and effective surgical technique for treating advanced glaucoma patients with coexisting cataract. |
| Key Words:
Advanced glaucoma;Cataract;Mitomycin C;Phacoemulsification |
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