NR. 1/2005



Wyniki fakotrabekulektomii w obserwacji 5-letniej – doświadczenia własne

Phacoemulsification Combined with Trabeculectomy in 5 Years Observation – Own Experience


Jerzy Szaflik1,3, Iwona Liberek2,3

1Katedra i Klinika Okulistyki II Wydziału Lekarskiego Akademii Medycznej w Warszawie
Kierownik: prof. dr hab. med. Jerzy Szaflik
2Klinika Okulistyki Centrum Medycznego Kształcenia Podyplomowego
w Warszawie
P. o. kierownik: dr n. med. Iwona Liberek
3Centrum Mikrochirurgii Oka „Laser” w Warszawie
Kierownik: prof. dr hab. med. Jerzy Szaflik

Summary: Aim: the aim of the study was to establish the efficiency of phacoemulsification combined with trabeculectomy in patients with cataract and glaucoma.
Material and methods: 126 patients (180 eyes) with cataract and glaucoma, who were operated between 1998 and 2004 were enclosed in the study. The follow-up time ranged from 1 year to 5 years. Intraocular pressure and visual acuity were analysed.
Results: Mean intarocular pressure after phacotrabeculectomy decreased from 18.9 mmHg to 13.9 mmHg. Visual acuity improvement was achieved in 88.8% of eyes.
Conclusions: Phacoemulsification combined with trabeculectomy is safe and effective method of treatment in patients with coexisting cataract and glaucoma: decreases visual rehabilitation period and ensures long-term postoperative intarocular pressure control.
 
Key words: phacoemulsification, trabeculectomy, cataract, glaucoma



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