Samuelson T W
Phillips Eye Institute, Minneapolis, Minnesota.
Curr Opin Ophthalmol. 1993 Feb;4(1):90-6. doi: 10.1097/00055735-199302000-00014.
The management of patients with coincident cataract and glaucoma is a common and challenging clinical problem. Recent technologic advances in both cataract and glaucoma surgery have made the combined procedure a more viable option than in the past. The use of small-incision cataract surgery and trabeculectomy with antimetabolites performed beneath a 4-mm scleral flap with a limbus-based conjunctival flap and releasable or laserable sutures have resulted in a combined procedure that can closely mimic the standard trabeculectomy in terms of surgical methods. This discussion reviews many of the pertinent articles that have appeared in the literature during the scanning period and that address the management of combined cataract and glaucoma. The intention is not to provide a comprehensive review of this important topic but to discuss present opinions on issues such as antimetabolites, small-pupil phacoemulsification, sutured lenses, and the pseudoexfoliation syndrome as they relate to the combined glaucoma procedure.
同时患有白内障和青光眼的患者的管理是一个常见且具有挑战性的临床问题。白内障和青光眼手术最近的技术进步使联合手术比过去成为更可行的选择。采用小切口白内障手术以及在基于角膜缘的结膜瓣下、4毫米巩膜瓣下使用抗代谢药物进行小梁切除术，并使用可松解或可激光切割的缝线，已形成一种联合手术，其手术方法能紧密模仿标准小梁切除术。本讨论回顾了在扫描期间发表在文献中的许多相关文章，这些文章涉及白内障和青光眼联合治疗的管理。目的不是对这个重要主题进行全面综述，而是讨论关于抗代谢药物、小瞳孔超声乳化、缝合人工晶状体以及假性剥脱综合征等问题的当前观点，因为它们与青光眼联合手术相关。
