Comparative Study of Combined Cataract Surgery in Primary Angle-Closure Glaucoma.

Min, Jin Bae; Hyung, Sung Min; Cho, Sang Hyung

Original Article

Journal of the Korean Ophthalmological Society 1999;40(9):2567-2574.
Published online September 1, 1999.

Comparative Study of Combined Cataract Surgery in Primary Angle-Closure Glaucoma.

Jin Bae Min, Sung Min Hyung, Sang Hyung Cho

Department of Ophthalmology, College of Medicine, Chungbuk National University, Korea.

폐쇄각녹내장에서 녹내장-백내장 병용수술의 효과

민진배(Jin Bae Min),형성민(Sung Min Hyung),조상형(Sang Hyung Cho)

Abstract

Trabeculectomy, as an operation precedure for glaucoman, decrease intraocular pressure(IOP)effectively. But the amount of decrease in IOP is different according to the etiology of glaucoma. Thirty four primary angle-closure glaucoma patients (37 eyes)who had undergone trabeculectomy only or trabeculecomy combined with cataract surgery and had been subsequently followed up for least 6 months, were enrolled in this study. In 12 patients(14 eyes) among 16 patients (18 eyes, Group 1) who had undergone trabeculecto-my only, IOP was controlled without glaucoma medication, while glaucoma medication was needed in the other 4 patients (4 eyes). Among 18 patients (19 eyes, Group 2) who had undergone trabeculectomy combined with cataract surgery, IOP were controlled without glaucoma medication 9 patients (10 eyes); controlled with medication in 8 patients (8 eyes); and not controlled even with 1 patient (1 eye). The amount of decrease in IOP was no statistically different between the two groups. Group 2 had deeper anterior chamber than Group 1 (p<0.01). The above results suggest that the combined pro-cedure may benefit in primary angle-closure glaucoma patients, especially old complicated patients.

Key Words: Anterior chamber depth;Combined cataract surgery;Intraocular pressure;Primary angle-closure glaucoma;Trabeculectomy