EVALUATION OF THE OUTCOMES OF PHACOEMULSIFICATION WITH INTRAOCULAR LENS IMPLANTATION IN EYES POST-TRABECULECTOMY AT HA NAM PROVINCE EYE HOSPITAL

Nam Trà Dương, Thị Thu Yên Nguyễn, Thị Kim Thanh Phạm

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Abstract

Objective: To evaluate the outcomes of phacoemulsification surgery with intraocular lens implantation in eyes post-trabeculectomy at Ha Nam Province Eye Hospital. Subjects and Methods: A total of 35 eligible eyes were included in the study, conducted at Ha Nam Eye Hospital from August 2023 to July 2024. This was a prospective descriptive study without a control group. All patients underwent phacoemulsification surgery, with a follow-up period of 3 months. Results: The success rate of the surgery after 3 months was good in 82.9% of cases and moderate in 17.1%. The average visual acuity after 3 months was 0.427± 0.22, showing improvement compared to preoperative levels (p < 0.05). Postoperative intraocular pressure increased but remained within the normal range. Surgical difficulties included shallow anterior chamber (< 2.5mm) in 51.4%, hard cataract grades IV + V in 48.6%, poor or non-dilating pupils, and anterior synechiae of the iris to the lens capsule, each accounting for 25.7%. Postoperative complications included corneal edema and uveitis. Conclusion: Phacoemulsification with intraocular lens implantation is an effective and safe treatment for cataracts in eyes post - trabeculectomy.

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References

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