[Outcome of combined trabeculectomy with cataract operation and intraocular lens implantation].
BACKGROUND
When trabeculectomy and cataract extraction with intraocular lens insertion are combined, do the success and complication rates add.


METHODS
Follow-up of 47 eyes of 34 patients with combined trabeculectomy and cataract extraction with intraocular lens implantation after 12 to 42 months.


RESULTS
With a low perioperative complication rate the intraocular pressure after one year was below 22 mm Hg in 90% without any medication and in 98% additional glaucoma therapy. After 2 and 3 years the intraocular pressure was normal without any additional therapy in 83% of the eyes. The visual acuity was better or equal to the preoperative value in 89% of the cases.


CONCLUSIONS
The combination of trabeculectomy and of cataract extraction with intraocular lens implantation has a low complication rate and gives good results regarding intraocular pressure and visual rehabilitation. When a trabeculectomy is indicated, the indication for a simultaneous cataract extraction with intraocular lens implantation should not be to restricted.
Augenklinik des Kantonsspitals Winterthur.
L
L
Anton
H
H
Martin
D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D007910:Lenses, Intraocular; D008297:Male; D011183:Postoperative Complications / Q000209:etiology*; D014130:Trabeculectomy; D016896:Treatment Outcome