Dr.Tanvi Shetty

Dr.Ksheeraja.Y , Dr.Ksheeraja.Y, Prof. Ananth Bhandary

Abstract

Aim : To evaluate the visual and IOP outcomes of combined cataract surgery and trabeculectomy in advanced glaucoma
Methods: 10 patients having advanced glaucoma with cataract had undergone cataract surgery and trabeculectomy. Preoperative IOP was uncotrolled with maximal mediacal therapy , BCVA , anterior segment,fundus evaluation was done.c.d ratio was 0.8 in 9 ,0.9 in one patient.Among10 patients 5 had undergone phacotrab, 5 sics trab.Postoperative IOP,visual acuity was noted at 1week ,1 month,6 months post surgery.
Results: IOP of all patients had reduced below 20 mm HG and results were consistent over 6 months. visual acuity improved in 60% patients with >6/18, 3 patients had cf 2mts,1 patient had cf cf due to glaucomatous optic atrophy.There were no intra op complications or postop complications. In all cases bleb morphology IOP was maintained
Conclusion: Combined cataract and trabeculectomy is a successful surgical approach for long term visual rehabilitation and IOP control