Effects of double-incision phacoemulsification combined with trabeculectomy on glaucoma with cataract

AIM: To explore the effects of double-incision phacoemulsification combined with trabeculectomy on visual acuity, intraocular pressure and complications in patients with glaucoma complicated with cataract. METHODS: The clinical data of each 68 patients(68 eyes)with glaucoma and cataract who were given double-incision(observation group)and single-incision(control group)phacoemulsification combined with trabeculectomy from April 2016 to October 2017 were retrospectively analyzed. The visual acuity and corneal endothelial cell status(density, area)before operation and at 1mo after operation, and occurrence of complications(hyphema, corneal endothelial edema, anterior chamber fibrinous exudation, filtering bleb scarring)within 1mo after operation were recorded in the two groups. And the differences of intraocular pressure and astigmatism degree were compared between the two groups before operation and at 1 and 6mo after operation. RESULTS:At 1mo after operation, the visual acuity in the two groups was better than that before operation(PP>0.05). At 1mo after operation, the area of corneal endothelial cell in the two groups was larger than that before operation(PPPPPP>0.05). And there was no statistically significant difference between the two groups(P>0.05). The postoperative astigmatism degree in the two groups was higher than that before operation(PPPCONCLUSION:Double-incision phacoemulsification combined with trabeculectomy has significant effects on patients with glaucoma and cataract. Although double-incision surgery and single-incision surgery have similar effects in improving visual acuity and intraocular pressure, double-incision surgery has less damage to the operative area, and it can reduce the postoperative corneal endothelial injury and the postoperative astigmatism degree, and it can also reduce the postoperative complications, and has a positive significance in promoting the disease outcomes