Division of Ophthalmology, University of Calgary, Faculty of Medicine, Calgary, Alberta, Canada.
Curr Opin Ophthalmol. 2010 Mar;21(2):129-34. doi: 10.1097/ICU.0b013e3283366a66.
The optimal management of cataract in the glaucoma patient must be constantly updated as advances in both subspecialties impact the surgical decision.
The primary considerations at this time include combining the procedures as opposed to sequential operations and optimizing the effectiveness of the operations while reducing complications.
Recent findings would certainly suggest an individualized approach based not only on the glaucoma and cataract condition of the patient but also on the experience of the surgeon with varied techniques. Further time and research are required to determine whether certain approaches or techniques will become more universally adopted. At present, there certainly is support for a variety of approaches.
随着两个亚专科的进步都对手术决策产生影响,青光眼患者的白内障的最佳治疗方案必须不断更新。
目前的主要考虑因素包括联合手术而不是序贯手术,以及在降低并发症的同时提高手术效果。
最近的发现肯定表明,应根据患者的青光眼和白内障状况,并结合外科医生对不同技术的经验,采用个体化的方法。需要进一步的时间和研究来确定某些方法或技术是否会被更广泛地采用。目前,各种方法肯定都有支持。