Tsakiris Kleonikos, Kontadakis George, Georgoudis Panagiotis, Gatzioufas Zisis, Vergados Athanasios
Whipps Cross University Hospital, Barts Health NHS Trust, Whipps Cross Road, London E11 1NR, UK.
Department of Ophthalmology, Basel University Hospital, Basel 4051, Switzerland.
J Ophthalmol. 2021 Apr 26;2021:5575445. doi: 10.1155/2021/5575445. eCollection 2021.
Cataract surgery in the presence of glaucoma poses certain challenges that need to be addressed to offer the maximum benefit without complications. In this paper, we are reviewing the preoperative assessment, surgical options, the planning, and postoperative care. Cataract surgery can help reduce the intraocular pressure alone or combined with MIGS. When performed in patients with glaucoma, it can transiently increase the intraocular pressure and later on decrease the IOP to levels lower than the postoperative. The preoperative IOP and biometric characteristics are the main predictors of the postoperative course of IOP. The combination of cataract surgery with trabeculectomy remains controversial, in terms of best timing of each operation.
在青光眼患者中进行白内障手术存在一些需要解决的挑战，以便在不出现并发症的情况下提供最大益处。在本文中，我们将回顾术前评估、手术选择、手术规划及术后护理。白内障手术单独或与微侵袭性青光眼手术（MIGS）联合使用有助于降低眼压。在青光眼患者中进行白内障手术时，眼压可能会暂时升高，随后降至低于术后的水平。术前眼压和生物测量特征是术后眼压变化过程的主要预测指标。就每种手术的最佳时机而言，白内障手术与小梁切除术联合应用仍存在争议。
