Journal of the Korean Ophthalmological Society 1999;40(9):2561-2566.
Published online September 1, 1999.
Results of Combined Procedures versus Two-Stage Operation using Small Incision in Patients with Cataract and Glaucoma.
Sung Won Byun, Chan Ki Park, Tae Won Hahn, Man Soo Kim
Department of Ophthalmology, Kangnam St.Mary`s Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea.
녹내장과 백내장이 동반된 환자에서 소절개창을 이용한 병용수술과 두단계수술의 임상성적 비교
변성원(Sung Won Byun),박찬기(Chan Kee Park),한태원(Tae Won Hahn),김만수(Man Soo Kim)
Abstract
To compare the result of small-incision combined procedure with that of two-stage procedure, the authors retrospec- tively reviewed 21 patients (23 eyes) who underwent small-incision combined cataract and glaucoma surgery (group 1) and 21 patients (23 eyes) who underwent small-incision cataract surgery after trabeculectomy (group 2). Intraocular pressure (IOP), visual acuity, bleb status, antiglaucoma medications and complications were analyzed.The mean follow-up period was 12.9 (2.3~30.1) months in group 1 and 13.9 (2.1~35.9) months in group 2. The mean preoperative IOP was 21.1 +/-6.6mmHg in group 1 and 26.6 +/-9 .3 mmHg in group 2. The mean postoperative IOP was 14.3 +/-3 .7 mmHg and 15.8 +/-3.1 mmHg in group 1 and 2, respectively. At last visit,13 eyes (56.5%) in group 1 and 12 eyes (52.2%)in group 2 had functioning blebs, and 21 eyes (91.3%) in group 1 and 17 eyes (73.9%) in group 2 had well controlled postoperative IOP without antiglaucoma medications.Rupture of posterior capsule,bleb site leakage, hypotony occurred in both groups; button hole (1 eye in group 1) and hyphema (2 eyes in group 2) were observed. These results indicate that the small-incisioncombined cataract and glaucoma surgery may be as safe and effective as the two-stage procedure.
Key Words: Combined procedure;Small incision;Two-stage procedure


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