Phaco + IOL treatment of acute angle-closure glaucoma and cataract in 16 cases.doc

 PAGE \* MERGEFORMAT 4 Phaco + IOL treatment of acute angle-closure glaucoma and cataract in 16 cases [Abstract] Objective Phaco + IOL surgery for acute angle-closure glaucoma with cataract clinical efficacy. Methods 16 cases of acute angle-closure glaucoma and cataract patients with medications to control intraocular pressure before, stable IOP underwent Phaco + IOL surgery. Results 16 patients were normal intraocular pressure, up to 1 year follow-up time, minimum of 3 months. Conclusion Phaco + IOL treatment of acute angle-closure glaucoma with cataract is safe and effective. [Keywords:] acute angle-closure glaucoma; Phaco + IOL; cataract Acute angle-closure glaucoma and cataract, glaucoma surgery in the past and then using a separate Phase for cataract removal, in two easy to increase the surgical trauma to the eye, and the second phase of cataract surgery may also lead to the original reduction or loss of bleb function and increase the economic burden of patients, such as the choice of cataract, glaucoma combined surgery, and complications. the last two years using Phaco + IOL hospital treatment of acute angle-closure glaucoma and cataract and achieved satisfactory results, are as follows. 1 Data and methods 1.1 General information on 16 cases of this group of patients, 11 males and 5 females, aged 61 to 82 years .16 patients had acute angle-closure glaucoma performance, mixed conjunctival hyperemia, corneal edema, shallow anterior chamber , dilated pupils, high intraocular pressure, both with various degree of cataract, mature in 5 cases. 1.2 Methods rapid intravenous 20% mannitol, pilocarpine eye drops 10 min 1 second eye, acetazolamide tablets 250 mg, 3 times / d, timolol eye drops, 2 times / d, eye, such as drug control not ideal, given paracentesis, IOP control and stable underwent Phaco + IOL surgery. 30 min before surgery to give 250 ml of 20% mannitol infusion, not dilated, conventional disinfection do incision, 1% adrenaline 1 ml