The outcome of 2.3 mm incision combined phacoemulsification, trabeculectomy and lens implantation of non-foldable intraocular lenses

Abstract

We report the results of 100 eyes in 88 patients that underwent combined phacoemulsification and implantation of non-foldable intraocular lenses (IOLs) following enlargement of the initial 2.3 mm opening and trabeculectomy. Intraocular pressure (IOP) control (< 21 mmHg) was attained in 96% of the eyes. Visual acuity of 6/12 or better was attained in 76% of the eyes. A filtering bleb was absent in only 11% of the eyes. All these outcomes were favourable compared with previously reported series in which foldable IOLs were inserted without enlargement of the initial trabeculectomy openings. We conclude that the combination of small-incision cataract surgery and trabeculectomy with implantation of non-foldable IOLs is a successful surgical approach for visual rehabilitation and glaucoma control in patients with concurrent cataract and glaucoma.