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Purpose: To evaluate the outcome of cataract extraction (CE)-after glaucoma filtering surgery (GFS). Methods: A total of 77 eyes (77 patients) who underwent CE with posterior chamber intraocular lens (PCIOL) implantation following GFS by a single surgeon were reviewed. Main outcome measures were preoperative and postoperative intraocular pressures (IOPs), visual acuities, medications, astigmatism, bleb survival, time of surgical failure, complications, and success rate. Results: Mean time interval between GFS and CE was 46.8±50.9 months (range, 2-348 months). The mean preoperative IOP was 13.9±4.7mmHg (range 3-27mmHg) and mean postoperative IOP at 3 weeks was 13.6±5.5mmHg (range, 6-44mmHg). The mean follow-up was 19.5±20.1 months (range, 1.4-73 months; median 10.6 months). Complete success was achieved in 59 eyes (76.7%). The cumulative probability of complete success was 91.3±3.7, 82.0±5.6 and 78.1±6.5%at the end of 6 months, 1, and 2 years, respectively. Visual acuity before CE was ≤20/50 in all eyes (100%). Visual acuity at last visit was≥20/40 in 33 eyes (42.8%), 20/50-20/80 in 30 eyes (39.0%), ≤20/100 in 14 eyes (18.2%). Risk factors identified for qualified success included age at CE > 60 years, interval of ≤5 months between GFS and CE, use of preoperative glaucoma medications, and postoperative IOP > 19 mmHg within 2 weeks. Conclusions: IOP and bleb function was maintained after CE with PCIOL implantation following successful GFS with good visual recovery.
Objective: To evaluate the outcome of cataract extraction (CE) -after glaucoma filtering surgery (GFS). Methods: A total of 77 eyes (77 patients) who underwent CE with posterior chamber intraocular lens (PCIOL) implantation following GFS by a single surgeon were reviewed. Main outcome measures were preoperative and postoperative intraocular pressures (IOPs), visual acuities, medications, astigmatism, bleb survival, time of surgical failure, complications, and success rate. Results: Mean time interval between GFS and CE was 46.8 ± 50.9 The mean preoperative IOP was 13.9 ± 4.7 mmHg (range 3-27 mmHg) and mean postoperative IOP at 3 weeks was 13.6 ± 5.5 mmHg (range, 6-44 mmHg). The mean follow-up Complete success of achieved 59 eyes (76.7%). The cumulative probability of complete success was 91.3 ± 3.7, 82.0 ± 5.6 and 78.1 ± 6.5% at (range, 1.4-73 months; median 10.6 months) the end of 6 months, 1, and 2 years, respectively. Visual acuity before C Visual acuity at last visit was ≥20 / 40 in 33 eyes (42.8%), 20 / 50-20 / 80 in 30 eyes (39.0%), ≤20 / 100 in 14 eyes (18.2%). Risk factors identified for qualified success included age at CE> 60 years, interval of ≤5 months between GFS and CE, use of preoperative glaucoma medications, and postoperative IOP> 19 mmHg within 2 weeks. Conclusions : IOP and bleb function was maintained after CE with PCIOL destination successful successful GFS with good visual recovery.