J Korean Ophthalmol Soc.  1999 Mar;40(3):803-809.

Triple Procedure for Phacoemulsification, Foldable IOL Implant and Trabeculectomy with Mitomycin-C

• Kee HS
• Cho YY
• Rhee CY
• Lee Y

Abstract

The purpose of our study is to evaluate the visual, refractive and IOP results following combined small incision phacoemulsification, foldable lens implantation, and fornix based trabeculectomy with Mitomycin-C. Seventy-six eyes of 64 patients with cataract and glaucoma had undergone the combined procedure. Minimal follow-up period was 6 months(mean 12.8+/-4.8 months). All the eyes that were free of preexisting macular disease and endstage glaucomatous optic nerve damage demonstated significant improvement in visual acuity. Postoperative astigmatisn was negligible(-0.41diopters). The average IOP reduction was 7.7mmHg. Functioning filtrating bleb persisted in 76.3% of the eyes. Complications with this method were not significant compared with other studies reporting the combined procedure. The small incison phacotrabeculectomy with mitomycin-C technique that we describe appears to be effective in early restoration of visual acuity and reduction of IOP without significant complications.

Keyword

small incision phacoemulsification; Foldable lens; Fornix based trabeculectomy; Mitomyincin-C

MeSH Terms

Blister
Cataract
Follow-Up Studies
Glaucoma
Humans
Mitomycin*
Optic Nerve
Phacoemulsification*
Trabeculectomy*
Visual Acuity
Mitomycin