Minimal one-stage cataract and glaucoma surgery - advantages and possible complications
Krystyna Pecold, Hanna Pecold-Stępniewska, Agnieszka Baran, Iwona Mazur-Michałek, Krzysztof Załęcki
Department of Ophthalmology, Poznań University of Medical Sciences Head: Krystyna Pecold, MD, PhD
Summary: Objective: To present one-site phacotrabekulectomy advantages and possible complications in patients operated from 2002-2003 in Department of Ophthalmology Poznań of Medical Sciences. Methods: One-stage one-site phacotrabeculectomy was performed in 142 eyes of 127 patients. IOP on medication was on average 21.7 + 6.29 mmHg. Minimal follow-up time was 3 months. Results: In 127 (89.4%) eyes there was significant IOP reduction between 11 - 21 mmHg. In 6 (4.3%) eyes hipotony less than 10 mmHg, in 9 eyes (6.4%) more than 21 mmHg. Visual acuity improvement was on average 0.6+0.32. Visual acuity from 0.5 to 1.0 achieved in 94 eyes (66.2%) and from 0.1 to 0.4 22 eyes (15.5%). 26 eyes didn't show any improvement because of AMD or optic nerve atrophy. Early postoperative complications included: anterior chamber shallowing 17 eyes (12%) choroidal detachment 19 eyes (13.4%), blood in the anterior chamber 20 eyes (14.1%), fibrotic exudate in the anterior chamber 35 eyes (25.3%), conjunctival wound leakage 14 eyes (9.9%). Conclusions: One-site phacotrabeculectomy allows to perform two procedures, and consequently makes them shorter, saves the patient his stress of the other operation and decreases costs of treatment.
Keywords: cataract-glaucoma, one-site phacotrabeculectomy, complications, intraocular pressure.