McCartney D L, Memmen J E, Stark W J, Quigley H A, Maumenee A E, Gottsch J D, Bernitsky D A, Wong S K
Department of Ophthalmology and Visual Sciences, Texas Tech University, Health Sciences Center, Lubbock.
Ophthalmology. 1988 Jun;95(6):754-63. doi: 10.1016/s0161-6420(88)33112-x.
The safety and efficacy of combined trabeculectomy, extracapsular cataract extraction (ECCE), and posterior chamber intraocular lens (PC IOL) implantation were evaluated by retrospectively analyzing 108 consecutive operations. Postoperatively, 89% of eyes achieved 20/40 or better visual acuity when preoperative macular and optic nerve diseases were excluded. Mean follow-up was 16.8 months. Intraocular pressure (IOP) control (less than or equal to 21 mmHg) was achieved in 92% of eyes; 57% required no medications. Capsulotomy (20%) and transient hyphema (15%) occurred significantly more often (P less than 0.001) than in a comparison group. These results suggest that the combined procedure gives excellent visual rehabilitation and IOP control in the majority of patients included in this analysis.
通过回顾性分析连续108例手术，评估了小梁切除术、白内障囊外摘除术（ECCE）和后房型人工晶状体（PC IOL）植入术联合应用的安全性和有效性。术后，排除术前黄斑和视神经疾病后，89%的术眼视力达到20/40或更好。平均随访时间为16.8个月。92%的术眼眼压（IOP）得到控制（小于或等于21 mmHg）；57%的术眼无需药物治疗。与对照组相比，囊切开术（20%）和短暂性前房积血（15%）的发生率明显更高（P小于0.001）。这些结果表明，在该分析纳入的大多数患者中，联合手术能实现良好的视力恢复和眼压控制。
