[Combined cataract-glaucoma surgery with deep sclerectomy. An alternative to gonio-trephination in the intra- and early postoperative phases].
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.
Mohr
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A
Augenklinik St. Joseph Stift GmbH, Schwachhauser Heerstrasse 54, 28209 Bremen.
Rais
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M
Eckardt
C
C
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