Cataracts and glaucoma are conditions primarily found in older adults, and it is often the case that both conditions are diagnosed simultaneously in elderly patients. Therefore, managing cataracts in conjunction with glaucoma is crucial. Typically, cataract surgery in glaucoma patients is performed to reduce intraocular pressure and improve visual acuity. Currently, there are generally two methods for cataract surgery: Phacoemulsification: This is a widely used surgical approach that employs u
Conditions
Interventions
The glaucoma patient with hard cataracts underwent cataract surgery using the MPF with intraocular lens method,The glaucoma patient with hard cataracts underwent cataract surgery using the Phacoemulsi
Treatment,Treatment
manual phacofragmentation group,phacoemulsification group
Sponsors
Prapokklao Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.Patients with glaucoma who have nuclear cataracts classified as N3, C3 or higher according to the Lens Opacities Classification System III (LOCS III) 2.No zonule dialysis was found.
Exclusion criteria
Exclusion criteria: 1.Intraocular pressure before surgery is higher than 25 mmHg (after treatment with pressure-lowering eye drops). 2.The patient is in a state of acute angle closure glaucoma. 3.The patient has glaucoma due to other causes, such as post-operative complications, congenital factors, etc. 4. The patient has glaucoma in conjunction with other diseases, such as corneal degeneration, retinal detachment, diabetic retinopathy, etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main objective is to compare the condition of corneal edema following rigid lens extraction surgery in glaucoma patients, using small incision surgery (MSICS) compared to phacoemulsification. preoperation , postoperation 1 day 7 day 1 month 3 months 6 months 12 months and 18 months central corneal thickness , corneal endothelial cell count | — |
Secondary
| Measure | Time frame |
|---|---|
| compare the loss of endothelial cell density in the cornea following rigid lens extraction surgery in glaucoma patients, using small incision surgery (MSICS) compared to phacoemulsification preoperation , postoperation 1 day 7 day 1 month 3 months 6 months 12 months and 18 months central corneal thickness , corneal endothelial cell count | — |
Countries
Thailand
Contacts
Public Contactporntip nitikarun
Phrapokklao hospital
Outcome results
None listed