Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida, USA.
Department of Ophthalmology, New York University Langone Medical Center, New York, New York, USA.
Surv Ophthalmol. 2017 Sep-Oct;62(5):712-715. doi: 10.1016/j.survophthal.2017.01.011. Epub 2017 Mar 3.
Cataract and glaucoma are the leading causes of blindness worldwide and commonly coexist in elderly patients. Endocyclophotocoagulation is a minimally invasive approach for glaucoma management that is amenable to combination with cataract surgery. We review the literature on endocyclophotocoagulation and evaluate intraocular pressure reduction efficacy when combined with phacoemulsification. Several studies demonstrate that phacoemulsification and endocyclophotocoagulation successfully reduces intraocular pressure and decreases medication burden. Phacoemulsification and endocyclophotocoagulation has a minimal side effect profile, and risks are limited to those usual postphacoemulsification. Most importantly, phacoemulsification and endocyclophotocoagulation allow for all future procedures, including trabeculectomy or tube implantation if necessary.
白内障和青光眼是全球导致失明的主要原因，并且常同时存在于老年患者中。内眼激光睫状体光凝术是一种治疗青光眼的微创方法，适用于与白内障手术相结合。我们回顾了内眼激光睫状体光凝术的文献，并评估了其与超声乳化白内障吸除术联合应用时降低眼内压的效果。几项研究表明，超声乳化白内障吸除术和内眼激光睫状体光凝术可成功降低眼内压并减少药物负担。超声乳化白内障吸除术和内眼激光睫状体光凝术的副作用最小，风险仅限于常规的超声乳化白内障吸除术后的风险。最重要的是，超声乳化白内障吸除术和内眼激光睫状体光凝术可允许进行所有未来的手术，包括如果需要还可进行小梁切除术或管植入术。
