Purpose: To determine the extent of intraocular lens (IOL) tilt and decentration values after combined surgery in patients with cataract and glaucoma. Materials and Methods: A total of 106 cataractous eyes undergoing IOL implantation were divided into 2 groups. Group 1 comprised 42 eyes undergoing phacotrabeculectomy surgery for cataract and primary open-angle glaucoma (POAG), and group 2 comprised 64 eyes undergoing phacoemulsification surgery for senile cataract. The length of IOL decentration and the angle of IOL tilt were quantitated by using Purkinje reflections and photographic documentation. Results: The differences regarding both the IOL tilt (2.84 ± 0.37; 2.97 ± 0.37, respectively) and decentration (0.39 ± 0.27; 0.49 ± 0.35, respectively) was insignificant (p > 0.05) between groups. Conclusion: There is no increased effect of phacotrabeculectomy on tilt and decentration of IOLs in eyes with POAG when compared with eyes which underwent phacoemulsification surgery.

Keywords:
Decentration, Phacotrabeculectomy, Glaucoma
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© 2005 S. Karger AG, Basel
2005
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