Surgical outcome of phaco-emulsification combined with trabeculectomy in 243 eyes

Acta Ophthalmol Scand. 1997 Oct;75(5):581-3. doi: 10.1111/j.1600-0420.1997.tb00153.x.


This study was conducted to determine how phaco-emulsification combined with trabeculectomy influenced intraocular pressure and need for glaucoma medication postoperatively. A retrospective analysis was undertaken of results relating to 243 eyes of 195 patients who had undergone phaco-emulsification combined with trabeculectomy. Pre-operative intraocular pressure decreased from a mean of 22.0 mmHg to 12.5 mmHg one week postoperatively with an average change of 9.5 mmHg. One month postoperatively, 70% of patients were without glaucoma medication. Visual acuity had improved in 80% of eyes. Phaco-emulsification combined with trabeculectomy resulted in excellent glaucoma control, good visual recovery and a need for fewer glaucoma drugs.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Exfoliation Syndrome / physiopathology
  • Exfoliation Syndrome / surgery*
  • Glaucoma, Open-Angle / physiopathology
  • Glaucoma, Open-Angle / surgery*
  • Humans
  • Intraocular Pressure
  • Lens Implantation, Intraocular
  • Middle Aged
  • Phacoemulsification*
  • Retrospective Studies
  • Trabeculectomy*
  • Treatment Outcome
  • Visual Acuity / physiology