Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Wedrich, A; Menapace, R; Radax, U; Papapanos, P.
Long-term results of combined trabeculectomy and small incision cataract surgery.
J Cataract Refract Surg. 1995; 21(1):49-54
Doi: 10.1016/S0886-3350(13)80479-8
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- Führende Autor*innen der Med Uni Graz
- Wedrich Andreas
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- Abstract:
- We did a prospective study of 49 eyes (36 patients) with coexisting cataract and glaucoma who had combined trabeculectomy, phacoemulsification, and implantation of a folded polyHema intraocular lens through the trabeculectomy opening. Preoperatively, intraocular pressure (IOP) was controlled (< 20 mm Hg) in 13 eyes on a mean of 2.2 medications and uncontrolled (> 20 mm Hg) in 36 eyes on a mean of 2.4 medications. Preoperative visual acuity ranged from 20/40 to hand movements. At the end of the follow-up, IOP was below 18 mm Hg in all eyes (100%), without therapy in 39 (80%) and with reduced therapy in 8 (16%). Two (4%) eyes were controlled on the same medication regimen. Visual acuity improved in 42 patients (86%); 38 (78%) achieved a visual acuity of 20/40 or better. A filtering bleb was observed in 45 eyes (92%). The most common early postoperative complication was fibrin exudation into the anterior chamber. Late complications included posterior synechias and vision-impairing capsule opacifications. Visual acuity improved after neodymium:YAG laser treatment in all eyes with opacification without further complications. We conclude that the combination of small incision cataract surgery and trabeculectomy is a successful surgical approach for long-term visual rehabilitation and glaucoma control.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Aged, 80 and over -
- Cataract - complications
- Cataract Extraction - methods
- Female -
- Follow-Up Studies -
- Glaucoma - complications
- Humans -
- Intraocular Pressure -
- Lenses, Intraocular -
- Longitudinal Studies -
- Male -
- Methacrylates -
- Postoperative Complications -
- Prognosis -
- Prospective Studies -
- Suture Techniques -
- Trabeculectomy - methods
- Visual Acuity -
- Find related publications in this database (Keywords)
- CATARACT
- GLAUCOMA
- HYDROGEL INTRAOCULAR LENS
- PHACOEMULSIFICATION
- SMALL INCISION CATARACT SURGERY
- TRABECULECTOMY
- TRIPLE PROCEDURE