Mitomycin-C supplemented trabeculectomy, phacoemulsification, and foldable lens implantation

作者: Kun-Jin Yang , Marlene R. Moster , Augusto Azuara-Blanca , Richard P. Wilson , Silvana V. Araujo

DOI: 10.1016/S0886-3350(97)80215-5

关键词: PhacoemulsificationTrabeculectomyIntraocular lensSurgeryEye diseaseOphthalmologyIntraocular pressureGlaucomaMedicineVisual acuityCapsulotomy

摘要: Abstract Purpose: To evaluate the outcome of combined mitomycin-C filtering surgery, phacoemulsification, and foldable intraocular lens (IOL) implantation. Setting: Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA. Methods: This retrospective study evaluated 182 eyes 174 patients who had trabeculectomy, insertion a IOL through 3.5 mm incision. Success procedure was defined as pressure (IOP) below 21 Hg, with or without medications, no serious complication. rates were calculated using Kaplan-Meier actuarial method. Results: Mean follow-up 16.7 months ± 5.4 (SD). The probability success at 6, 12, 18, 24 98.3, 95.6, 90.6, 88.0%, respectively. When compared preoperatively, visual acuity improved one more lines in 148 (81.3%) worsened 15 (8.2%); 111 (61.0%) achieved 20/40 better. most frequent complication posterior capsule opacification requiring capsulotomy, which occurred 22 cases (12.0%). Conclusion: 1 year 2 IOP control rate procedures phacoemulsification glaucoma high.

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