الفهرس 
Anatomy of aqueous humourOnly 14 pages are availabe for public view
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Abstract
The management of patients with coexisting cataract and glaucoma is a common and challenging clinical problem. They can be managed with one of three basic surgical approaches (1) cataract surgery alone, (2) trabeculectomy alone, or (3) combined cataract extraction and glaucoma surgery, each of the three management strategies had major drawbacks. Recent advances in phacoemulsification techniques and non penetrating glaucoma filtration surgeries have come together to revolutionize the surgical management of coexisting cataract and glaucoma and have made the combined procedure a more viable option than in the past. The aim of this study is to evaluate and compare the procedure of combined phacoemulsification and trabeculectomy versus combined phacoemulsification and deep sclerectomy, principally regarding IOP pressure control during a sixmonth follow up period. The study was carried out on sixty eyes of fortythree patients, performing combined phacoemulsification and deep sclerectomy (group I), or combined phacoemulsification and trabeculectomy (group II). Complete tonometric success occurred in 80% of cases in group I and 83.3% in group II . 6.6% of cases were control with topical therapy in group I and 10% in group II. 13.4% showed failure and needed resurgery in group I and 6.6% of cases showed failure and needed resurgery in group II. At the end of follow up period, there was improvement in the BCVA in both groups with no statistically significant difference between each group. The mean endothelial cell count three months postoperatively in both groups showed no statistically significant difference. The mean endothelial cell loss three months postoperatively in both groups showed no statistically significant difference. Postoperative AC reactions and ocular hypotony occurred more commonly in group II while opacified posterior capsule occurred more commonly in group I. The other few complications were similar in both groups. Conclusion : phacotrabeculectomy (PT) or phacosclerectomy (PDS) represent a viable alternative technique to achieve long term control of IOP in coexisting cataract and glaucoma. They provide similar good long term results regarding visual recovery, glaucoma control, and minimal complications. However the complication rate was lower in PDS group allowing easier ambulatory care.