Comparison of a 3- and 6-mm incision in combined phacoemulsification and trabeculectomy.

Abstract:

:We studied 216 eyes of 160 patients who underwent combined phacoemulsification and posterior chamber intraocular lens implantation with trabeculectomy. The mean follow-up was 18.7 months, with a minimum follow-up of six months. To assess the safety and efficacy of a recently developed 3-mm incision procedure with foldable intraocular lens implantation (phacotrabeculectomy), we compared 104 eyes subjected to this procedure with 112 eyes subjected to a 6-mm procedure at different follow-up periods. Intraocular pressure control (less than 21 mm Hg) was attained in 44 of 46 eyes (96%) in the 3-mm group and 71 of 76 eyes (93%) in the 6-mm group at one year postoperatively. Visual acuity of 20/40 or better was attained in 40 of 46 eyes (87%) in the 3-mm group and 66 of 76 eyes (87%) in the 6-mm group. The incidence of postoperative complication was significantly lower (P less than .001) and visual acuity in the early postoperative period was significantly better (P less than .01) in the 3-mm incision group than in the comparison group.

journal_name

Am J Ophthalmol

authors

Lyle WA,Jin JC

doi

10.1016/s0002-9394(14)72258-5

subject

Has Abstract

pub_date

1991-02-15 00:00:00

pages

189-96

issue

2

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)72258-5

journal_volume

111

pub_type

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