The Efficacy and Safety of Combined Trabeculectomy Cataract Extraction, and Intraocular Lens Implantation
1988; Elsevier BV; Volume: 95; Issue: 6 Linguagem: Inglês
10.1016/s0161-6420(88)33112-x
ISSN1549-4713
AutoresDavid L. McCartney, James E. Memmen, Walter J. Stark, Harry A. Quigley, A. Edward Maumenee, John D. Gottsch, David A. Bernitsky, Stephen K. Wong,
Tópico(s)Corneal surgery and disorders
ResumoThe safety and efficacy of combined trabeculectomy, extracapsular cataract extraction (ECCE), and posterior chamber intraocular lens (PC IOL) implantation were evaluated by retrospectively analyzing 108 consecutive operations. Postoperatively, 89% of eyes achieved 20/40 or better visual acuity when preoperative macular and optic nerve diseases were excluded. Mean follow-up was 16.8 months. Intraocular pressure (IOP) control (≤21 mmHg) was achieved in 92% of eyes; 57% required no medications. Capsulotomy (20%) and transient hyphema (15%) occurred significantly more often (P < 0.001) than in a comparison group. These results suggest that the combined procedure gives excellent visual rehabilitation and IOP control in the majority of patients included in this analysis.
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