Combined phacoemulsification, intraocular lens implantation, and trabeculectomy

Combined phacoemulsification, intraocular lens implantation, and trabeculectomy

To analyze the results of phacoemulsification and posterior chamber intraocular lens (IOL) implantation combined with trabeculectomy. John Moran Eye Center, University of Utah, Salt Lake City. Two hundred twelve eyes of 174 patients with glaucoma and cataracts were analyzed retrospectively after cat...

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Bibliographic Details
Published in:Journal of cataract and refractive surgery Vol. 22; no. 4; p. 467
Main Authors: Mamalis, N, Lohner, S, Rand, A N, Crandall, A S
Format: Journal Article
Language:English
Published: United States 01-05-1996
Subjects:
Adult
Aged
Aged, 80 and over
Cataract - complications
Female
Follow-Up Studies
Glaucoma - complications
Glaucoma - surgery
Humans
Intraocular Pressure
Lenses, Intraocular
Male
Middle Aged
Phacoemulsification - methods
Postoperative Complications
Retrospective Studies
Trabeculectomy - methods
Visual Acuity
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Summary:To analyze the results of phacoemulsification and posterior chamber intraocular lens (IOL) implantation combined with trabeculectomy. John Moran Eye Center, University of Utah, Salt Lake City. Two hundred twelve eyes of 174 patients with glaucoma and cataracts were analyzed retrospectively after cataract removal by phacoemulsification with posterior chamber IOL implantation combined with trabeculectomy. With an average follow-up of 26 months, patients had a significant improvement in visual acuity. The preoperative mean intraocular pressure (IOP) of 23.1 mm Hg decreased postoperatively to 15.9 mm Hg. Mean number of glaucoma medications decreased from 1.85 preoperatively to 0.41 postoperatively. Twenty-one patients (10% had a postoperative IOP of greater than 21 mm Hg, and seven required trabeculectomy revisions. Combined phacoemulsification, posterior chamber IOL implantation, and trabeculectomy yielded excellent results in the treatment of patients with both cataract and glaucoma.
ISSN:0886-3350
DOI:10.1016/S0886-3350(96)80044-7