Triple Procedure for Phacoemulsification, Foldable IOL Implant and Trabeculectomy with Mitomycin-C.

Kee, Hong Seok; Cho, Yong Yun; Rhee, Chang Yong; Lee, Yeon

Original Article

Journal of the Korean Ophthalmological Society 1999;40(3):803-809.
Published online March 1, 1999.

Triple Procedure for Phacoemulsification, Foldable IOL Implant and Trabeculectomy with Mitomycin-C.

Hong Seok Kee, Yong Yun Cho, Chang Yong Rhee, Yeon Lee

Lee`s Eye Clinic.

수정체유화술, 연성 인공수정체 삽입술 및 섬유주절제술의 삼자요법

기홍석(Hong Seok Kee),조용윤(Yong Yun Cho),이창용(Chang Yong Rhee),이연(Yeon Lee)

Abstract

The purpose of our study is to evaluate the visual, refractive and IOP results following combined small incision phacoemulsification, foldable lens implantation, and fornix based trabeculectomy with Mitomycin-C. Seventy-six eyes of 64 patients with cataract and glaucoma had undergone the combined procedure. Minimal follow-up period was 6 months(mean 12.8+/-4.8 months). All the eyes that were free of preexisting macular disease and endstage glaucomatous optic nerve damage demonstated significant improvement in visual acuity. Postoperative astigmatisn was negligible(-0.41diopters). The average IOP reduction was 7.7mmHg. Functioning filtrating bleb persisted in 76.3% of the eyes. Complications with this method were not significant compared with other studies reporting the combined procedure. The small incison phacotrabeculectomy with mitomycin-C technique that we describe appears to be effective in early restoration of visual acuity and reduction of IOP without significant complications.

Key Words: small incision phacoemulsification;Foldable lens;Fornix based trabeculectomy;Mitomyincin-C