McMahan L B, Monica M L, Zimmerman T J
Ophthalmic Surg. 1986 Mar;17(3):146-50.
In the past, glaucoma has been considered a relative contraindication to the use of an intraocular lens (IOL) in a patient undergoing cataract extraction. In this study, we examined postoperative intraocular pressure (IOP) control for three months postoperatively in 46 eyes with glaucoma undergoing cataract extraction with implantation of a posterior chamber IOL. Twenty-six eyes or 56.5% could be classified as having improved IOP control three months postoperatively. At the same time, 19 eyes or 41.3% demonstrated the same IOP control after lens implantation. Thus, 45 of the total of 46 eyes had as good or better postoperative IOP control. Of the 46 eyes, 100% required preoperative glaucoma medication, while postoperatively only 41% required medication.
过去，青光眼一直被视为白内障摘除患者使用人工晶状体（IOL）的相对禁忌证。在本研究中，我们对46只患有青光眼且接受了后房型人工晶状体植入白内障摘除术的眼睛进行了术后三个月的眼压（IOP）控制情况检查。术后三个月，26只眼（56.5%）可被归类为眼压控制得到改善。同时，19只眼（41.3%）在植入晶状体后眼压控制情况相同。因此，46只眼中的45只术后眼压控制良好或更佳。在这46只眼中，100%的患者术前需要使用青光眼药物，而术后只有41%的患者需要用药。
