Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Wedrich, A; Menapace, R; Hirsch, U; Papapanos, P; Derbolav, A; Ries, E.
Comparison of results and complications following combined ECCE-trabeculectomy versus small-incision-trabeculectomy and posterior chamber lens implantation.
Int Ophthalmol. 1996; 20(1-3): 125-129.
Doi: 10.1007/BF00212958
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Wedrich Andreas
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- Abstract:
- PURPOSE: To compare the efficacy and complication rate of two standard cataract extraction techniques with different incision lengths when combined with trabeculectomy. METHODS: 54 eyes after combined ECCE, posterior chamber lens implantation and trabeculectomy (ECCE-group) are compared with 49 eyes following phacoemulsification, trabeculectomy and implantation of a folded flexible posterior chamber lens (small-incision group). Minimum follow-up was 24 months. RESULTS: Glaucoma control was achieved in all eyes of both groups. There was a tendency towards a higher number of patients without therapy in the small-incision group (82% versus 65%, p = 0.07). Final mean IOP (14.2 +/- 3.0 mmHg versus 15.5 +/- 2.7 mmHg, p = 0.02) and mean therapy index (0.2 +/- 0.5 versus 0.4 +/- 0.6, p = 0.03) were significantly lower in the small-incision group. Postoperative complications such as severe fibrin effusion (41% versus 18%, p = 0.018), early postoperative IOP rises > 25 mmHg (18% versus 2%, p = 0.009), filtering bleb scarring (63% versus 8%, p < 0.0001) and the total number of complications (87% versus 63%, p = 0.006) were significantly higher in the ECCE-group. CONCLUSION: With the decrease of the incision size necessary for the cataract extraction a reduction of postoperative complications and better functional results are achieved in combined cataract/glaucoma surgery.
- Find related publications in this database (using NLM MeSH Indexing)
- Aged -
- Aged, 80 and over -
- Cataract - complications
- Comparative Study - complications
- Female - complications
- Follow-Up Studies - complications
- Glaucoma - physiopathology
- Humans - physiopathology
- Intraocular Pressure - physiopathology
- Lenses, Intraocular - adverse effects
- Male - adverse effects
- Middle Aged - adverse effects
- Phacoemulsification - adverse effects
- Postoperative Complications - adverse effects
- Retrospective Studies - adverse effects
- Sutures - adverse effects
- Trabeculectomy - adverse effects
- Treatment Outcome - adverse effects
- Visual Fields - adverse effects