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Clinical Trial
. 2000 Mar;36(2):95-7.

[The contribution of phacoemulsification to combined cataract and glaucoma surgery]

[Article in Chinese]
H Zhu  1 , R Wei, Y Li, J Cai, H Zhou
Affiliations
  • PMID: 11853591
Clinical Trial

[The contribution of phacoemulsification to combined cataract and glaucoma surgery]

[Article in Chinese]
H Zhu et al. Zhonghua Yan Ke Za Zhi. 2000 Mar.

Abstract

Objective: To study the safety and effectiveness of phacoemulsification (phaco) in trabeculectomy combined with cataract extraction (phacotrabeculectomy) and posterior chamber intraocular lens (IOL) implantation.

Methods: 68 eyes with glaucoma and cataract were randomly divided into two groups: the phacotrabeculectomy with IOL implantation and modern extracapsular cataract extraction (ECCE), trabeculectomy and IOL implantation.

Results: Postoperatively, in the phaco group, the intraocular pressure (IOP) decreased obviously at the early stage (P < 0.05), the number of cases necessary for the use of anti-glaucoma drug was decreased, the mean kinds of the drug applied were markedly decreased (P < 0.05), the visual acuity improved quickly, significantly and steadily, and the complications were less than that in the ECCE group.

Conclusions: The phaco's triple surgery is safe and effective. In cases with glaucoma and cataract, the surgery is indicated even when the cataract is not mature or premature.

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