Sandwichtrabeculectomy combined with Microphakonit in eyes with glaucoma with persistently high intraocular pressure and coexisting cataract

　　刘文斌 Genichiro Takahashi 沈烨宇 江顺化 俞秋丽

　　南京医科大学附属明基医院 Jikei University School of Medicine 210000

　　PURPOSE：To report the technique and surgical otcomes of Sandwichtrabeculectomy combined with Microphakonit in eyes with glaucoma with persistently high intraocular pressure and coexisting cataract.

　　METHODS：After microphakonit，Under the limbus-based conjunctival flap，the third incision was made at one-third depth of scleral-corneal for ontraocular lens injection and then another incision was made at the same place but at two-thirds depth，the middle one third was cut off，and peripheral iridectomy was performed.After injection of viscoelastics into the tunnel(like sandwich)，continuous conjunctival suture wes finishrd.

　　RESULTS：The first 12 consecutive eyes of 12 patients who had taken Sandwichtrabeculectomy combined with Microphakonit had significantly reduced intraocular pressure(29.6±12.7%).There was a 9.8%reduction in the mean corneal endothelial cell count.There were no other complications up to 6 months after surgery.

　　CONCLUSION：Sandwichtrabeculectomy combined with Microphakonit appeared to be an effective and safe option in patients with glaucoma with persistently high intraocular pressure and coexisting cataract..