[Sutureless phacotrabeculectomy. Interim results].
BACKGROUND
To study the medium-term success rate of a simple surgical technique for combined operation of cataract and glaucoma.


METHODS
Of 50 patients with cataract and various types of glaucoma, 55 eyes underwent a combined operation for cataract and glaucoma and were followed up for at least 6.5 months. The phacoemulsification war performed through a scleral tunnel. After implantation of a foldable IOL an "inverse T" incision of the tunnel floor was performed to create a valve mechanism closure.


RESULTS
In 45 eyes (83%) the intraocular pressure was controlled without medications during the follow-up time. In 10 cases (17%) a new glaucoma medication was introduced postoperatively. Following early postoperative complications were noticed: early intraocular hypertension (20.0%), wound leakage (20.0%), early intraocular hypotension (10.9%), hyphema (19.1%).


CONCLUSIONS
No-stitch phacotrabeculectomy appears to be a safe and (medium-term) effective procedure for combined surgery of cataract and glaucoma.
Kownacki
J D
JD
Clinica Oculistica, Ospedale Regionale, Lugano, Schweiz.
Artaria
L G
LG
D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications* / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification / Q000009:adverse effects / Q000379:methods*; D013536:Suture Techniques; D014130:Trabeculectomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome
Phakotrabekulektomie ohne Naht. Mittelfristige Ergebnisse.