Clinical observation on phacoemulsification combined with trabeculectomy for glaucoma patients with cataract

Objective To evaluate the therapeutic effects of combined phacoemulsification and trabeculectomy surgery with intraocular lens implantation on treatment of glaucoma patients with cataract.Methods 35 cases(52 eyes)primary open-angle or primary angle-closure ghaucoma patients with cataract were assigned to undergo combined surgery.Best corrected visual acuity(BCVA),intraocular pressure(IOP)and postoperative filtering bleb formation were analyzed.Results The postoperative BCVA were≥0.3 in 41 eyes(78.85%).It was obviously more than that before the surgery,which were in 3 eyes(5.77%).After 6 months of following-up,the mean postoperative IOP was(14.71±4.01)mmHg.The function bleb was formed in 47 eyes(90.38%).No serious postoperative complications occurred.Conclusion Phacoemulsification combined with trabeculectomy can be a safe,effective and smooth therapeutic operation for glaucoma patients with cataract.