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NR. 3(I)/2004
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Minimal one–stage
cataract and glaucoma surgery – advantages and possible
complications
Krystyna Pecold, Hanna
Pecold-Stępniewska, Agnieszka Baran, Iwona Mazur-Michałek,
Krzysztof Załęcki
Department of Ophthalmology, Poznań University of Medical
Sciences
Head: Krystyna Pecold, MD, PhD |
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| Summary: |
Objective: To
present one-site phacotrabekulectomy advantages and
possible complications in patients operated from
2002-2003 in Department of Ophthalmology Poznań of
Medical Sciences.
Methods: One-stage one-site phacotrabeculectomy
was performed in 142 eyes of 127 patients. IOP on
medication was on average 21.7 + 6.29 mmHg. Minimal
follow-up time was 3 months.
Results: In 127 (89.4%) eyes there was
significant IOP reduction between 11 - 21 mmHg. In 6
(4.3%) eyes hipotony less than 10 mmHg, in 9 eyes (6.4%)
more than 21 mmHg. Visual acuity improvement was on
average 0.6+0.32. Visual acuity from 0.5 to 1.0 achieved
in 94 eyes (66.2%) and from 0.1 to 0.4 22 eyes (15.5%).
26 eyes didn't show any improvement because of AMD or
optic nerve atrophy. Early postoperative complications
included: anterior chamber shallowing 17 eyes (12%)
choroidal detachment 19 eyes (13.4%), blood in the
anterior chamber 20 eyes (14.1%), fibrotic exudate in
the anterior chamber 35 eyes (25.3%), conjunctival wound
leakage 14 eyes (9.9%).
Conclusions: One-site phacotrabeculectomy allows
to perform two procedures, and consequently makes them
shorter, saves the patient his stress of the other
operation and decreases costs of treatment. |
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| Key words: |
cataract-glaucoma,
one-site phacotrabeculectomy, complications, intraocular
pressure. |
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