Two-incision Combined Surgery for Patients with Glaucoma and Cataract

CHANG Xin-qi; MENG Hai-lin

doi:10.3969/j.issn.1004-5775.2014.06.017

Abstract：Objective To investigate the clinical effects of the two -incision combined surgery of trabeculectomy with phacoemulsifica-tion and intraocular lens implantation ( two-incision surgery ) for patients with glaucoma combined with cataract .Methods A retrospec-tive analysis of 42 cases of 48 eyes with cataract and glaucoma underwent two -incision surgery.Pre-and post-operation, visual acuity, intraocular pressure, filtering bleb morphology and complications were observed .All cases were followed up for 6 to 12 months.Results Post-operation , visual acuity of all cases had various degrees improvement .The difference between pre -and post-operation was statisti-cally significant (χ2 =17.42, P<0.05).Intraocular pressure (IOP) was controlled from (23.4 ±2.6) mmHg pre-operation to (14.3 ± 3.1) mmHg.And the average decline was (8.9 ±4.5) mmHg.The difference between pre -and post-operation was also statistically significant (t=4.915, P<0.05).About filtering bleb morphology, 11 eyes (22.9%) was observed in Type Ⅰ, 24 eyes (50.0%) in Type Ⅱ, and rate of functional bleb formation was 72.9%.Postoperative complications were early mild corneal edema , anterior chamber reaction and temporary high intraocular pressure .But no serious postoperative complication was observed .Conclusion The two-incision surgery can effectively control IOP, improve visual acuity, and shorten course of treatment.And it′s a simple, safe and effective treatment for patients with glaucoma and cataract .