Observation of the surgical options and long-term effect of cataract combined with glaucoma

Abstract

Objective To explore the surgical approach of glaucoma combined with cataract and to observe its long-term clinical effect. Methods A total of 157 patients (183 eyes) with glaucoma combined with cataract were selected. Among them, 123 cases (131 eyes) of cataract were found by glaucoma admission, 34 cases (52 eyes) of glaucoma were found by cataract admission. There were 78 cases (87 eyes) of primary acute angle-closure glaucoma, 32 cases (47 eyes) of primary chronic angle-closure glau-coma, 3 cases (4 eyes) of primary open-angle glaucoma, cataract secondary glaucoma in 21 cases (21 eyes), residual glaucoma complicated with cataract in 23 cases (24 eyes). According to the cause of the disease, the course of disease, the degree of angle closure to choose different surgical methods, follow-up > 6 months to observe the treatment effect. Results Of 37 patients (41 eyes) underwent cataract surgery combined with glaucoma surgery (22.4%), 62 patients (73 eyes) underwent cataract surgery (39.9%) and 58 patients (69 eyes) underwent glaucoma surgery (37.7%). The intraocular pressure control was satisfactory in 136 cases (171 eyes, 93.4%) by not using or using 1-2 kinds of local reduction of intraocular pressure drugs, 11 cases (12 eyes, 6.6%) underwent secondary anti-glaucoma surgery. No serious complications occurred. Conclusions Various surgery approach for glaucoma with a cataract should be chosen depending on the different conditions. The success rate of operation should be improved to the maximum extent and the pain of the patients should be alleviated. Key words: Cataract secondary glaucoma; Clinical effect; Operation method; Residual glaucoma; Angle separation