Binkhorst C D
Trans Ophthalmol Soc U K (1962). 1985;104 ( Pt 5):567-9.
Intraocular lens implantation into cataractous eyes that also suffer from primary glaucoma is a rewarding procedure. The need for an IOL in these eyes is even stronger than in otherwise healthy cataractous eyes. With prepupillary IOLs there was a strong reason first to control surgically intraocular pressure prior to cataract surgery with IOL implantation. The advent of retropupillary IOLs has dramatically changed this attitude. Extracapsular cataract extraction (ECCE) and the use of an all-in-the-bag retropupillary IOL is the method of choice. Postoperative medical treatment remains possible as does surgical treatment for the glaucoma. The procedure is suitable for open-angle glaucoma as well as for narrow-angle glaucoma.
将人工晶状体植入同时患有原发性青光眼的白内障眼中是一种很有意义的手术。这些眼睛对人工晶状体的需求甚至比对其他方面健康的白内障眼更强。对于瞳孔前人工晶状体，在进行白内障手术并植入人工晶状体之前，首先有充分理由通过手术控制眼压。后房型人工晶状体的出现极大地改变了这种态度。囊外白内障摘除术（ECCE）和使用后房型囊袋内人工晶状体是首选方法。术后药物治疗仍然可行，青光眼的手术治疗也可行。该手术适用于开角型青光眼以及闭角型青光眼。
