2 Cases of Combined Cataract and Scleral Buckling Surgery

Ahn, Hyuk

Abstract

I have recently experienced 2 cases of triple surgery composed of phacoemulsification, scleral buckling and IOL insertion. This kind of surgery has not been reported yet. One patient had operations of phacoemulsification, scleral buckling and IOL insertion and the other patient had phacoemulsification, encircling buckling and IOL insertion surgeries simultaneously. Corneoscleral wound was created in valve shape so as to tolerate the increment of the IOP. After removing the cataract, the chamber was filled with viscoelastic material. Retinal tear was localized with the help of indirect ophthalmoscope and then buckling surgery was performed. IOL was inserted in the bag at the last procedure. Both patients were satisfied with the attachment of retina and improvement of visual acuity. The triple surgery of phacoemulsification, scleral buckling and IOL insertion is an appropriate choice when properly indicated.