[Combined operation: cataract and glaucoma with implantation. Results of a series of 28 cases].
28 eyes underwent a combined procedure: trabeculectomy, extra-capsular cataract extraction and implantation of a posterior chamber intraocular lens. With a minimum of 9 months follow-up, 23 eyes had intraocular pressure controlled of all antiglaucoma medications, and 4 additional eyes achieved control with only the use of timolol maleate drops. (1 eye was lost to follow-up.) Preoperative near visual acuity was less than Parinaud 5 (Jaeger 7) in all eyes. Post-operative near visual acuity was Parinaud 2 (Jaeger 1) in 17 eyes. Senile macular degeneration was responsible for less than Parinaud 2 visual acuity in 4 additional eyes. An extracapsular extraction has advantages over the intracapsular method, both in terms of less post-operative vitreoretinal complications for the cataract extraction itself, and for the creation of a functional trabeculectomy by keeping the vitreous away from the filtration site. Use of a posterior chamber intraocular lens implant as part of the combined procedure appears to be highly acceptable. Complications and limits of the combined procedure are discussed.
D000368:Aged; D002387:Cataract Extraction / Q000379:methods*; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000503:physiopathology / Q000601:surgery*; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D007498:Iris / Q000601:surgery; D007903:Lens Capsule, Crystalline / Q000601:surgery; D007910:Lenses, Intraocular / Q000009:adverse effects; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D014065:Tonometry, Ocular; D014129:Trabecular Meshwork / Q000601:surgery; D014792:Visual Acuity; D014794:Visual Fields
L'opération combinée: cataracte et glaucome avec implantation. Résultats d'une série de 28 cas.