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Simultaneous glaucoma and microincision cataract surgery Ryoji Yamakawa 1 , Zentaro Hara 1 , Naoshi Tsurumaru 1 , Yoshino Yamamoto 1 , Toru Urano 1 1Dept of Ophthalmol, Kurume Univ Sch of Med pp.1379-1383
Published Date 2006/8/15
DOI https://doi.org/10.11477/mf.1410101693
  • Abstract
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We performed simultaneous microincision cataract surgery, intraocular lens(IOL)implantation, and glaucoma surgery on 10 eyes. Trabeculotomy was performed on 4 eyes of exfoliation glaucoma. Trabeculectomy was performed on 5 eyes of secondary glacoma and one eye of neovascular glaucoma. Trabeculotomy could be placed on 6 o'clock position. Conjunctiva in the upper quadrant could be left intact by inserting IOL through the trabeculotomy opening. Limbal-based conjunctival flap in trabeculectomy did not interfere cataract surgery. IOL could be inserted through the scleral opening, so that the scleral wound was spared from damage by burns or stretching. The scleral wound could be placed either temporally or nasally. In both glaucoma procedures, the approach in the left eye was easy for right-handed surgeon. This method was possible for deep-set eyes.

Rinsho Ganka(Jpn J Clin Ophthalmol)60(8):1379-1383, 2006


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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