urgical outcome of combined phacoemulification and glaucoma drainage implant urgery for Aian patient with refractory glaucoma with cataract

Purpoe To examine the afety and efficacy of combined phacoemulification and glaucoma drainage implant urgery in providing reduction of intraocular preure (IOP) and viual rehabilitation in eye with refractory glaucoma and cataract. Deign Interventional cae erie. Method A retropective chart review wa performed on all ubject who underwent combined phacoemulification with intraocular len implantation and glaucoma drainage implant urgery by a ingle urgeon at the National Univerity Hopital, ingapore. The implant ued were the 185 mm2 Ahmed glaucoma valve and the 350 mm2 Baerveldt glaucoma implant. In term of IOP, a complete ucce wa defined a IOP of between 6 to 21 mm Hg without medication, qualified ucce a IOP between 6 to 21 mm Hg with one or more medication, and failure a a utained IOP of >21 mm Hg or <6 mm Hg with or without one or more medication on two or more viit. Reult A total of 32 combined phacoemulification and glaucoma implant urgerie in 32 patient wa performed. All patient were of Aian origin, and the mean age wa 58 ± 16 year (range, 20–78 year). The Baerveldt glaucoma implant and Ahmed glaucoma valve implant were inerted in 16 eye each. With a mean follow-up of 13 ± 5 month (range 6 to 22 month), IOP wa reduced from a mean of 28.0 ± 11.5 mm Hg to 15.2 ± 6.0 mm Hg potoperatively (P < .0001), wherea the number of antiglaucoma medication decreaed from a mean of 2.4 ± 1.4 to .3 ± .7 (P < .0001) at lat follow-up. Overall, there were 24 eye (75%) that were claified a complete uccee, 4 eye (12.5%) that were qualified uccee, and 4 eye that failed (12.5%). Twenty-three eye (72%) had improvement of viual acuity, while only one eye had a lo of more than 1 line of nellen acuity. There wa no cae that encountered an intraoperative complication, and potoperative complication occurred in 12 eye (38%), the mot common of which wa hypotony (in ix eye, 19%). Concluion For ubject with refractory glaucoma and cataract, combined phacoemulification and glaucoma drainage implant urgery provide good viual rehabilitation and control of IOP, with low incidence of complication.