Phacoemulsification in the treatment of glaucoma and cataract persistent high intraocular pressure.docVIP

Phacoemulsification in the treatment of glaucoma and cataract persistent high intraocular pressure [Abstract] Objective To investigate the acute angle-closure glaucoma, high intraocular pressure and cataract surgery sustained treatment effects and safety. Methods 13 cases of acute angle-closure glaucoma with cataract and persistent high intraocular pressure pedestrian tunnel under the scleral flap trabeculectomy combined with phacoemulsification Cataract gettering and posterior chamber intraocular lens implantation, after regular follow-up. Results All patients were successfully eye surgery, the anterior chamber after 24h, and were deep anterior chamber, visual acuity significantly improved than before, surgery visual acuity at 3 months after the 0.1 has 3 eyes, 0.15 to 0.3 in 8 eyes, 0.3 or 2 eyes, 1,3,6 months after intraocular pressure were within normal range. all patients does not appear corneal decompensation, retinal detachment and other serious complications. Conclusion tunnel under the scleral flap trabeculectomy combined with phacoemulsification addition to surgery is the treatment of acute angle-closure glaucoma with cataract and high intraocular pressure continued safe and effective method. [Key Words] high intraocular pressure glaucoma and cataract eye surgery Our department in January 2004 ~ December 2008 13 cases of acute angle-closure glaucoma with cataract and persistent high intraocular pressure pedestrian tunnel under the scleral flap trabeculectomy combined with phacoemulsification and posterior chamber intraocular lens than implantation, the effect is satisfactory . these are as follows: 1 Materials and Methods 1.1 General Information 13 eyes of 13 patients in this group, all of hospitalized cases. Which 4 males, 9 females, right 6, left 7. Aged 61 to 83 years, mean 72 years. Typical in all cases of acute angle-closure glaucoma attack history. onset of 7 to 21 days, an average of 15 days, all patients cloudy crystal clear. preo