Application of anterior lens capsule in combined glaucoma and cataract surgery
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    Abstract:

    AIM:To explore application results of anterior lens capsule in combined glaucoma and cataract surgery . METHODS:Twenty-three cases(25 eyes)of glaucoma complicated cataract underwent trabeculectomy, phacoemulsification and foldable intraocular lens implantation surgery. The curvilinear autologous anterior capsule was placed under the scleral flap after repeated washing with BSS liquid intraoperatively. Intraocular pressure and visual acuity were mainly observed in patients 1 day, 1 week, 3 weeks, 1 month and 6 months after operation and field of vision, filtering bleb and complications were recorded. RESULTS: The average IOPs of 1 day, 1 week, 3 weeks, 1 month and 6 months after operation were 18.3±1.5,1732±0.82,15.71±0.71,16.17±0.52,16.87±0.71mmHg (1kPa=7.5mmHg) respectively, compared with the preoperative (4516±4.41) mmHg, the differences were statistically significant (allP<0.05). The mean preoperative visual acuity was 0.12±0.08, 2 months after operation ,the visual acuity was below 0.1 in 2 eyes (8%), 0.1 to 0.2 in 3 eyes (12%), 0.3-0.6 in 13 eyes (52%), 0.8 to 1.2 in 7 eyes (28%), postoperative visual acuity improved significantly, the differences were statistically significant (allP<0.05). Preoperative and postoperative mean visual field defect value and the average standard value of the difference were not statistically significant (allP>0.05). After operation, functional bleb formed in 23 eyes, accounting for 92%,non-functional bleb in 2 eyes, accounting for 8%. Intraoperative posterior capsular rupture occurred in 1 eye, no vitreous prolapse and other complications occurred. CONCLUSION:Anterior lens capsule used in combined glaucoma and cataract surgery can effectively reduce intraocular pressure with long-term and effective retention of functional bleb to improve vision, the success rate is high with no significant complications, and patients with combined surgery can reduce the economic burden.

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Jian Yang, Hai-Yan Qin, Bing Wu, et al. Application of anterior lens capsule in combined glaucoma and cataract surgery. Guoji Yanke Zazhi( Int Eye Sci) 2012;12(5):917-920

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Publication History
  • Received:February 20,2012
  • Revised:April 09,2012
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