Combined trabeculectomy, intracapsular cataract extraction, and lens implantation: a clinical series.
Twenty-two eyes from 17 patients underwent a combined surgical approach for cataracts and glaucoma, involving an intracapsular cataract extraction, trabeculectomy, and anterior chamber intraocular lens implantation with an average follow-up of one year. The surgical technique is described. The average intraocular pressure fell from 24.9 mm Hg to 16.7 mm Hg. Seventy-three percent of the patients required no medication postoperatively for control of their glaucoma. Ninety-six percent of the patients showed an improvement in visual acuity improvement. Complications of flat peripheral anterior chambers and hyphema formation did not affect post-operative pressures or visual acuity results. The results encourage further investigation of this procedure.
D000368:Aged; D002387:Cataract Extraction / Q000379:methods; D005260:Female; D005902:Glaucoma, Open-Angle / Q000601:surgery; D006801:Humans; D007429:Intraocular Pressure; D007910:Lenses, Intraocular / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D014129:Trabecular Meshwork / Q000601:surgery*; D014792:Visual Acuity