[Phacoemulsification with silicone foldable intraocular lens implantation through a small incision in glaucomatous eyes after filtering surgery].

Abstract

OBJECTIVE:

To investigate the method of cataract extraction in eyes that had undergone glaucoma filtering surgery and its effects on filtering bleb.

METHODS:

Phacoemulsification with posterior chamber intraocular lens implantation was performed on 262 eyes with a preexisting filtration bleb, in which at the temporal clear cornea a lateral or inferior lateral limbal incision was selected, the pupil sphincter was cut and the iris was sewed for the small and fixed pupil.

RESULTS:

The postoperative visual acuity of all patients improved in different degrees, with >or= 0.5 in 74.0% in the first month. The postoperative IOP increased by 3.08 mmHg. The functional filtering bleb was not apparently cicatrized.

CONCLUSIONS:

Glaucomatous eyes with cataract after filtering operation can rehabilitate their visual acuity and maintain the functional filtering bleb by phacoemulsification with foldable intraocular lens implantation through a temporal clear corneal incision or lateral scleral pocket incision. Theoretically, the effect of a transparent corneal incision on filtering bleb is less than that of a scleral pocket incision.

• Authors: Y Liu, J Ge, B Cheng
• Journal: [Zhonghua yan ke za zhi] Chinese journal of ophthalmology (Zhonghua Yan Ke Za Zhi) Vol. 36 Issue 6 Pg. 435-7 (Nov 2000) ISSN: 0412-4081 [Print] China
• PMID: 11853643 (Publication Type: English Abstract, Journal Article)

Topics

• Aged
• Female
• Filtering Surgery
• Glaucoma (surgery)
• Humans
• Intraocular Pressure
• Lens Implantation, Intraocular (methods)
• Male
• Middle Aged
• Phacoemulsification (methods)
• Visual Acuity