Boreham C
Aust N Z J Ophthalmol. 1987 Aug;15(3):201-5. doi: 10.1111/j.1442-9071.1987.tb00071.x.
In a retrospective study in a consecutive series of operations performed by the author, 13 eyes in 10 patients underwent combined extracapsular cataract extraction, posterior chamber intraocular lens (IOL) implantation and trabeculectomy. All had significant cataract and chronic open-angle glaucoma with field loss, uncontrolled or marginally controlled on maximum tolerable medical treatment. All had a postoperative reduction in intraocular pressure. Significant complications included malignant glaucoma (in two eyes) and a late choroidal detachment (in one eye). The indications for and the advantages of the combined procedure are discussed, emphasising the advantages of extracapsular cataract extraction (ECCE) and posterior chamber lens implantation, in patients with chronic open-angle glaucoma (COAG).
在作者进行的一系列连续手术的回顾性研究中，10例患者的13只眼睛接受了白内障囊外摘除术、后房型人工晶状体植入术和小梁切除术。所有患者均患有严重白内障和慢性开角型青光眼并伴有视野缺损，在最大耐受药物治疗下眼压未得到控制或仅得到勉强控制。所有患者术后眼压均有所降低。显著的并发症包括恶性青光眼（2只眼）和晚期脉络膜脱离（1只眼）。本文讨论了联合手术的适应证和优点，强调了在慢性开角型青光眼（COAG）患者中白内障囊外摘除术（ECCE）和后房型人工晶状体植入术的优点。
