| The Surgical outcomes of combined Phacoemulsification, Posterior Chamber Lens Implantation and Trabeculectomy in Glaucoma Patients. |
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Byung Sung Jun, Young Jae Hong, Chan Yun Kim |
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The Institute of Vision Research Department of Ophthalmology, College of Medicine, Yonsei University, Seoul, Korea. kcyeye@yumc.yonsei.ac.kr |
| 녹내장 환자에서 수정체유화술, 인공수정체삽입술과 섬유주절제술의 병행수술 결과 |
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전병성 ( Byung Sung Jun ) , 홍영재 ( Young Jae Hong ) , 김찬윤 ( Chan Yun Kim ) |
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| Abstract |
PURPOSE
To access the surgical outcomes of combined cataract surgery and trabeculectomy in glaucoma patients. METHODS: Twenty one patients (23 eyes) with preoperative visual acuity over 0.3 treated by combined surgery in severance hospital from 1997 to 1999 were included in this study. We examined preoperative and postoperative visual acuity, intraocular pressure, number of ocular hypotensive eyedrops, visual field test retrospectively. RESULTS: A total of 21 patients (23 eyes) were observed. Mean preoperative intraocular pressure (IOP) were 18.62+/-2.58 mmHg and that of postoperative 1-year follow-up period were decreased to 15.43+/-2.04 mmHg (p<0.05). One, 2 and 3 years after surgery, 2 eyes (8%), 3 eyes (13%), 5 eyes (20%) were aggravated by Advanced Glauma Intervention Study (AGIS) scoring system, respectively. Although there was significant decrease in postoperative intraocular pressure (p<0.05), no significant change was observed in postoperative IOP, mean deviation (MD), and corrected pattern standard deviation (CPSD) between aggravated group and non aggravated group. CONCLUSIONS: The IOP was maintained under 21 mmHg following combined cataract surgery and trabeculectomy and AGIS score of some patients was aggravated during the follow up period. There were no significant difference in postoperative IOP, MD and CPSD between aggravated and non aggravated group, but rim volume and rim area decreased significantly in aggravated group at postoperative two years. |
| Key Words:
AGIS (Advanced Glaucoma Intervention Study);Combined surgery;Glaucoma;Phacoemulsification;Trabeculectomy;Visual field |
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