Zeyen T
Dienst Oogheelkunde Universitair Ziekenhuis St.-Rafael Kapucijnenvoer 33 3000 Leuven.
Bull Soc Belge Ophtalmol. 2000;Suppl:55-8.
The combined surgical treatment of cataract and glaucoma has a long and controversial history (1). The guidelines proposed by the European Glaucoma Society facilitate however the therapeutic decisions (2). If the patient with open-angle glaucoma is stabilized with medical treatment it is often sufficient to operate the cataract alone and continue the medical treatment afterwards. If the patient is not stabilized or if the medical treatment is not well tolerated, it is suggested to perform a combined procedure. If visual functions are threatened by the glaucoma it is better to perform the filtering procedure first. We shall overview these options and elaborate on each surgical technique.
白内障与青光眼的联合手术治疗有着悠久且颇具争议的历史（1）。然而，欧洲青光眼协会提出的指南有助于做出治疗决策（2）。对于开角型青光眼患者，如果通过药物治疗病情稳定，通常单独进行白内障手术并在术后继续药物治疗就足够了。如果患者病情不稳定或药物治疗耐受性不佳，则建议进行联合手术。如果青光眼威胁到视觉功能，最好先进行滤过手术。我们将概述这些选择并详细阐述每种手术技术。
