McGuigan L J, Gottsch J, Stark W J, Maumenee A E, Quigley H A
Arch Ophthalmol. 1986 Sep;104(9):1301-8. doi: 10.1001/archopht.1986.01050210055025.
Fifty eyes of 40 patients with glaucoma underwent extracapsular cataract extraction with posterior chamber lens implantation. Their visual results and early postoperative complications were compared with those of eyes in an age-matched group of patients without glaucoma after the same procedure. Substantial increases in early postoperative intraocular pressure (IOP) occurred in 62% of the glaucomatous eyes and in only 10% of the normal eyes. The level of best visual acuity was slightly worse (20/40) on average in the glaucomatous eyes than in the nonglaucomatous eyes (20/25). At six months after surgery, 82.5% of the nonfiltered glaucomatous eyes needed the same number of or additional glaucoma medications to maintain an IOP of less than 20 mm Hg. Ten of the glaucomatous eyes underwent trabeculectomy along with cataract surgery due to inadequate IOP control while the patient was receiving maximum medical therapy. Control was substantially improved, with 100% of these patients receiving the same number of or fewer medications at six months. By one year, only 30% of these patients required the same number of medications postoperatively as preoperatively, but all had IOP control.
40例青光眼患者的50只眼睛接受了白内障囊外摘除联合后房型人工晶状体植入术。将他们的视力结果和术后早期并发症与年龄匹配的非青光眼患者组在接受相同手术后的眼睛情况进行比较。62%的青光眼眼中术后早期眼压（IOP）大幅升高，而正常眼中只有10%出现这种情况。青光眼眼的最佳视力平均水平（20/40）略低于非青光眼眼（20/25）。术后六个月，82.5%未行滤过手术的青光眼眼需要相同数量或额外的青光眼药物来维持眼压低于20 mmHg。10只青光眼眼因在患者接受最大剂量药物治疗时眼压控制不佳，在白内障手术同时进行了小梁切除术。眼压控制得到显著改善，这些患者中有100%在六个月时所需药物数量相同或减少。到一年时，这些患者中只有30%术后需要与术前相同数量的药物，但所有患者的眼压均得到控制。
