title: Limbal-based vs fornix-based conjunctival flaps in combined extracapsular cataract surgery and glaucoma filtering procedure.
abstract: Extracapsular cataract extractions and posterior chamber intraocular lens implantations combined with glaucoma filtering procedures were done in 47 eyes of 43 consecutive patients who had coexisting cataract and glaucoma. A limbal-based conjunctival flap was used in 22 patients and a fornix-based flap was used in 25 patients; the surgical technique was otherwise identical in all patients. Patients were followed up for a minimum of six months (mean, 18 months). Long-term intraocular pressure control and visual acuity were similar in the two groups, although the limbal-based group had significantly better early postoperative intraocular pressure control. Because control of intraocular pressure during the early postoperative period is a principal benefit of combined cataract and glaucoma surgery, we prefer the limbal-based conjunctival flap.
authors.affiliation: Duke University Eye Center, Duke University Medical Center, Durham, North Carolina 27710.
authors.forename: J F
authors.initials: JF
authors.lastname: Murchison
authors.forename: M B
authors.initials: MB
authors.lastname: Shields
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications; D002387:Cataract Extraction / Q000009:adverse effects / Q000379:methods*; D003228:Conjunctiva / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications; D013524:Surgical Flaps / Q000379:methods*; D014130:Trabeculectomy / Q000379:methods; D014792:Visual Acuity