Insertion of a foldable hydrophobic IOL through the trabeculectomy fistula in cases with Microincision cataract surgery combined with trabeculectomy
2006

New Technique for Cataract and Glaucoma Surgery

Sample size: 5 publication Evidence: moderate

Author Information

Author(s): Dada Tanuj, Muralidhar Rajamani, Sethi Harinder S

Primary Institution: Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Hypothesis

Can a foldable hydrophobic IOL be inserted through the trabeculectomy fistula during microincision cataract surgery combined with trabeculectomy?

Conclusion

The technique of combining MICS with trabeculectomy and insertion of a foldable IOL through the trabeculectomy fistula is a feasible and valuable technique for cases which require combined cataract and glaucoma surgery.

Supporting Evidence

  • All patients achieved a best corrected visual acuity of 20/20 at 4 weeks follow-up.
  • The mean IOP was 13.2 + 2.4 mm Hg at 12 weeks without any antiglaucoma medication.
  • No intraoperative complications were reported.

Takeaway

Doctors found a new way to do eye surgery for patients with cataracts and glaucoma that works well and is safe.

Methodology

Five patients underwent microincision cataract surgery combined with trabeculectomy, and a foldable IOL was inserted through the trabeculectomy fistula.

Limitations

The study involved a small sample size of only five patients.

Participant Demographics

All participants had primary open-angle glaucoma and visually significant cataracts.

Digital Object Identifier (DOI)

10.1186/1471-2415-6-14

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