Results of cataract surgery and implantation of a compressible disc lens in patients with glaucoma.
We studied the efficacy and postoperative behavior of a compressible disc posterior chamber intraocular lens in 40 eyes of 33 glaucoma patients. They had a mean follow-up of 12.8 months. Postoperatively, 38 eyes (95%) had a best corrected visual acuity of 20/40 or better. Minor decentration occurred in one case. Early posterior capsule fibrosis (40%) was 50% less than in earlier reports on the rigid Galand disc IOL. Posterior synechias were present in 35% of eyes. Postoperative complications such as pupil capture (0%) and significant posterior capsule opacification (12.5%) were minimized by using this IOL. Closed-loop circular lenses are an attractive alternative to open-loop-supported IOLs in patients with glaucoma.
Gunning
F P
FP
Glaucoma Center, Academic Medical Center, University of Amsterdam, The Netherlands.
Greve
E L
EL
D002387:Cataract Extraction; D005500:Follow-Up Studies; D015812:Glaucoma, Angle-Closure / Q000601:surgery*; D005902:Glaucoma, Open-Angle / Q000601:surgery*; D006801:Humans; D007910:Lenses, Intraocular; D009798:Ocular Hypertension / Q000601:surgery*; D011183:Postoperative Complications; D011474:Prosthesis Design; D016896:Treatment Outcome; D014792:Visual Acuity