title: Combined trabeculectomy, cataract extraction, and foldable lens implantation.
abstract: The efficacy of foldable silicone intraocular lenses in combined glaucoma/cataract surgery was retrospectively analyzed in 19 consecutive operations. Preoperatively all patients were receiving medical treatment for glaucoma; 21% had intraocular pressures above 21 mm Hg despite the medical therapy. Postoperatively, reduction of intraocular pressure to 21 mm Hg or less was achieved in 84% of eyes, with 58% requiring no antiglaucoma medications. Mean improvement of Snellen visual acuity was 4.9 lines; 84% of eyes achieved a final acuity of 20/40 or better. Median follow-up was 59 weeks (range 25 to 88 weeks). Thirteen eyes (68%) had a filtration bleb present when last examined. These preliminary results suggest that foldable silicone IOLs are an effective alternative to poly(methyl methacrylate) lenses in combined glaucoma/cataract surgery.
authors.affiliation: Wilmer Ophthalmological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21205.
authors.forename: J S
authors.initials: JS
authors.lastname: Parker
authors.forename: S
authors.initials: S
authors.lastname: Gollamudi
authors.forename: G
authors.initials: G
authors.lastname: John
authors.forename: W J
authors.initials: WJ
authors.lastname: Stark
mesh_terms: D002387:Cataract Extraction; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D007910:Lenses, Intraocular; D011379:Prognosis; D012189:Retrospective Studies; D012826:Silicone Elastomers; D014130:Trabeculectomy; D014792:Visual Acuity
chemical_list: D012826:Silicone Elastomers