AI Article Synopsis
- The study aimed to report on a surgical technique called microincision bimanual phacotrabeculectomy, aimed at treating patients with both glaucoma and cataracts.
- It was conducted at the Glaucoma Service in Hong Kong Eye Hospital and involved using a small incision method that avoided trauma to the trabeculectomy site while implanting an intraocular lens.
- Results showed a significant reduction in intraocular pressure and only a slight decrease in corneal endothelial cell count, with no major complications observed in the initial group within six months post-surgery, indicating that this technique is both effective and safe.
Article Abstract
Purpose: To report the technique and surgical outcomes of microincision bimanual phacotrabeculectomy in eyes with glaucoma and coexisting cataract.
Setting: Glaucoma Service, Hong Kong Eye Hospital, Hong Kong SAR, China
Methods: Microincision bimanual phacoemulsification with a sleeveless phaco needle and irrigating chopper was performed in combination with trabeculectomy. Phacoemulsification was performed through 2 small clear corneal wounds, sparing the trabeculectomy site from trauma. The intraocular lens (IOL) was then implanted through the trabeculectomy site, so no corneal wound larger than 1.5 mm was required for IOL implantation.
Results: The first 10 consecutive eyes of 10 patients who had combined phacotrabeculectomy by a microincision bimanual technique had significantly reduced intraocular pressure. There was a 10.5% reduction in the mean corneal endothelial cell count. There were no other complications up to 6 months after surgery.
Conclusion: Microincision bimanual phacotrabeculectomy appeared to be an effective and safe option in patients with glaucoma and coexisting cataract.
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| http://dx.doi.org/10.1016/j.jcrs.2006.06.022 | DOI Listing |
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