Clinical application of modified phacotrabeculectomy

Objective To evaluate the feasibility and clinical effect of modified phacotrabeculectomy on patients with glaucoma and cataract.Methods Twenty-one eyes of 21 patients with glaucoma and cataract were treated with phacotrabeculectomy under a modified scleral tunnel incision.Visual acuity,intraocular pressure,filtering bleb and the position of intraocular lens were observed after the surgery.Results The patients were followed up for one year averagely.Eighteen patients achieved better visual acuity(finger count in 2 eyes,0.1 in 1 eye,0.1 to 0.3 in 5 eyes and 0.3 in 13 eyes)and the mean postoperative intraocular pressure was 12.32±4.06 mm Hg(1 mm Hg=0.133 kPa).Conclusions Phacotrabeculectomy and intraocular lens implantation was effective in reducing intraocullar pressure and improving visual acuity in patients with glaucoma and cataract.