Clinical analysis of phacoemulsification after trabeculectomy

Objective To discuss the surgical management of glaucoma combined with cataract through analysis of the results of trabeculectomy followed by phacoemulsification and foldable intraocular lens implantation. Methods Fifty-eight patients (58 eyes) underwent phacoemulsification after trabeculectomy. Cataract vision and intraocular pressure before and after surgeries were compared. The related factors with the interval between trabeculectomy and phacoemulsification were also analyzed. Results The vision and cataract were deteriorated after trabeculectomy, and the vision were recovered after phacoemulsification. Phacoemulsification had few effect on the postoperative pressure control. The interval between trabeculectomy and phacoemulsification was not related with age and preoperative intraocular pressure ( P 0. 05 ). The interval between surgeries in angle-closure glaucoma was shorter than in open-angle glaucoma. Conclusion Cataract is an important consideration factor for the surgery management of primary angle-closure glaucoma. The combined trabeculectomy and phacoemulsification maybe the first choice in the surgical treatment of angle-closure glaucoma with low visual acuity when filtrating surgery is necessary.