Clinical outcomes of phacoemulsification-intraocular lens implantation combined with trabeculectomy for cataract patients

Objective To evaluate the safety and effectiveness of phacoemulsification-intraocular lens (IOL)implantation combined with trabeculectomy in treatment of patients with cataract. Methods Fifty-eight eyes of 55 patients with chronic angle-closure glaucoma with cataract were included in the present study. Phacoemulsification-IOL implantation combined with trabeculectomy was performed for 30 eyes of 28 patients (group A) and phacoemulsification-IOL implantation after trabeculectomy was performed for 28 eyes of 27 patients (group B). The best-corrected visual acuity(BCVA),pre-and post-operation intraocular pressure (IOP),postoperative bleb formation and postoperative complications were analyzed and compared between the two groups.All the cases were followed up for over 6 months. Results The mean IOP values of group A and group B at 1 week,1 month,and 6 months after operation and the number of eyes with BCVA distinctly lower than those of preoperative.There were no significant decline differences of the IOP between two groups during postoperative 1 week,1 and 6 month.The eyes with postoperative BCVA ≥0.5 were similar between the 2 groups; the conditions of filtering bleb were also similar between the 2 groups. There were no severe complications in the 2 groups. The mean hospital stay and the cost were ([10.4±1.6] d and [7 603.57±215.97] yuan) in group A were significantly lower than those in group B ([15.8±1.6] d and [9 671.75±268.60] yuan) in group B (both P0.01). Conclusion Phacoemulsification-IOL implantation combined with trabeculectomy is a safe,effective,economical regimen for glaucoma combined with cataract with less complication.