Cataract combined with glaucoma is prone to be more prevalent in the elderly and is mutually reinforcing in its development and more complex to treat. Traditional clinical management advocates separate surgery for the two diseases, which increases the surgical risk and the financial burden on the patient.
In recent years, with the continuous improvement of cataract surgery methods, the advantages of glaucoma combined with cataract surgery have been widely accepted, especially cataract ultrasonic emulsion IOL implantation combined with trabeculectomy.
However, for patients with short eye axes and thick crystals post-combination surgery with strong filtration, resulting in shallow anterior chamber is a difficult problem that cannot be ignored in this surgery. In the past two years, we have treated more than 60 patients with prepositioned adjustable suture trabeculectomy combined with cataract ultrasound-emulsification IOL implantation.
None of them had shallow anterior chamber, and the IOP was controlled between 9mmHg and 18mmHg with good filtration. The average bare eye visual acuity was 0.5 and the corrected visual acuity reached 0.8, all of which achieved good results.