Skorpik C, Gnad H D, Paroussis P, Menapace R
J Cataract Refract Surg. 1987 Jan;13(1):39-42. doi: 10.1016/s0886-3350(87)80008-1.
We present the results achieved in 26 cases of trabeculectomy combined with intraocular lens implantation after extracapsular surgery in eyes with open-angle glaucoma. Phacoemulsification was performed in nine cases, planned extracapsular cataract extraction in 17. In 23 eyes, a posterior chamber lens was implanted; in three eyes an anterior chamber lens was used because of a ruptured posterior capsule. After a follow-up period ranging from four to 29 months, the postoperative results were satisfactory in all eyes treated. The patients achieved postoperative intraocular pressure of 20 mm Hg or less. In 28% of the cases, however, additional antiglaucomatous medication is required. Given proper indications and present-day surgical techniques, this combined procedure provides effective one-time treatment for cataract and glaucoma patients as well as optimal visual rehabilitation.
我们展示了26例开角型青光眼患者在囊外手术后行小梁切除术联合人工晶状体植入术所取得的结果。其中9例行超声乳化白内障吸除术，17例行计划中的囊外白内障摘除术。23只眼中植入了后房型人工晶状体；3只眼因后囊破裂而使用了前房型人工晶状体。经过4至29个月的随访期，所有接受治疗的眼睛术后结果均令人满意。患者术后眼压达到或低于20 mmHg。然而，28%的病例需要额外使用抗青光眼药物。鉴于适当的适应症和当今的手术技术，这种联合手术为白内障和青光眼患者提供了有效的一次性治疗以及最佳的视力康复。
