Efficacy of Intraocular Pressure Control in Glaucoma Combined Procedure (Extracapsular Cataract Extraction with Trabeculectomy).

Woo, Kyung In; Youn, Dong Ho

Original Article

Journal of the Korean Ophthalmological Society 1992;33(6):570-576.
Published online June 1, 1992.

Efficacy of Intraocular Pressure Control in Glaucoma Combined Procedure (Extracapsular Cataract Extraction with Trabeculectomy).

Kyung In Woo, Dong Ho Youn

Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.

수정체 낭외 적출술과 섬유주 절제술 병용시의 안압 하강 효과

우경인(Kyung In Woo),윤동호(Dong Ho Youn)

Abstract

We reviewed 21 cases of extracapsular cataract extraction with trabeculectomy (combined procedure) and 21 cases of trabeculectomy in glaucoma patients in order to evaluate any differences in the efficacy of the intraocular pressure (IOP) control between the two groups. The long-term IOP control effects were not diferent statistically between the two groups. During 2 weeks after operation, however, average IOP of combined procedure group was higher than that of trabeculectomy group. Visual acuity was improved in 71% of the combined procedure group. and the rest of them were not improved in vision because of extensive preoperative optic nerve damage. The complications were increased anterior chamber reaction and posterior synechia in combined procedure group and cataract progression as a late one in trabeculectomy group.

Key Words: Combined Procedure;Intraocular pressure;Trabecdectomy