title: The efficacy and safety of combined trabeculectomy, cataract extraction, and intraocular lens implantation.
abstract: The 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 (less than or equal to 21 mmHg) was achieved in 92% of eyes; 57% required no medications. Capsulotomy (20%) and transient hyphema (15%) occurred significantly more often (P less than 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.
authors.affiliation: Department of Ophthalmology and Visual Sciences, Texas Tech University, Health Sciences Center, Lubbock.
authors.forename: D L
authors.initials: DL
authors.lastname: McCartney
authors.forename: J E
authors.initials: JE
authors.lastname: Memmen
authors.forename: W J
authors.initials: WJ
authors.lastname: Stark
authors.forename: H A
authors.initials: HA
authors.lastname: Quigley
authors.forename: A E
authors.initials: AE
authors.lastname: Maumenee
authors.forename: J D
authors.initials: JD
authors.lastname: Gottsch
authors.forename: D A
authors.initials: DA
authors.lastname: Bernitsky
authors.forename: S K
authors.initials: SK
authors.lastname: Wong
mesh_terms: D000368:Aged; D002386:Cataract / Q000150:complications* / Q000503:physiopathology; D002387:Cataract Extraction; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007910:Lenses, Intraocular; D008875:Middle Aged; D011183:Postoperative Complications; D011300:Preoperative Care; D014130:Trabeculectomy; D014792:Visual Acuity