Combined trabeculectomy, cataract extraction, and foldable lens implantation.
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.
Parker
J S
JS
Wilmer Ophthalmological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21205.
Gollamudi
S
S
John
G
G
Stark
W J
WJ
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
D012826:Silicone Elastomers