title: [Combined cataract-glaucoma surgery with deep sclerectomy. An alternative to gonio-trephination in the intra- and early postoperative phases].
abstract: BACKGROUND
  We examined the value of deep sclerectomy combined with phacoemulsification as a surgical technique in the peri- and postoperative phases.
  
  
  METHODS
  Deep sclerectomy with phacoemulsification was carried out in 18 patients. Mean postoperative follow-up was 7.5 weeks.
  
  
  RESULTS
  Deep sclerectomy was more difficult to perform than goniotrephination. We observed neither fibrin reaction nor hypotonic dysregulation (intraocular pressure, IOP, < 8 mmHg). Five patients required additional pressure-lowering drugs during postoperative IOP regulation.
  
  
  CONCLUSIONS
  We consider the low inflammatory response in the early postoperative phase to outweigh the greater surgical difficulty and prolonged surgery time. Further studies must verify whether higher IOP during the early postoperative phase is sufficient for good long-term IOP regulation.
authors.affiliation: Augenklinik St. Joseph Stift GmbH, Schwachhauser Heerstrasse 54, 28209 Bremen.
authors.forename: A
authors.initials: A
authors.lastname: Mohr
authors.forename: M
authors.initials: M
authors.lastname: Rais
authors.forename: C
authors.initials: C
authors.lastname: Eckardt
mesh_terms: D000867:Anterior Chamber; D002386:Cataract / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications / Q000601:surgery*; D006068:Gonioscopy; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D018579:Patient Selection; D018918:Phacoemulsification; D011182:Postoperative Care; D011183:Postoperative Complications; D012599:Sclerostomy; D013997:Time Factors; D014130:Trabeculectomy; D014207:Trephining