Wiley R G, Barnebey H S, Martin W G
Ann Ophthalmol. 1984 May;16(5):486-90, 494-5.
Twenty-two eyes from 17 patients underwent a combined surgical approach for cataracts and glaucoma, involving an intracapsular cataract extraction, trabeculectomy, and anterior chamber intraocular lens implantation with an average follow-up of one year. The surgical technique is described. The average intraocular pressure fell from 24.9 mm Hg to 16.7 mm Hg. Seventy-three percent of the patients required no medication postoperatively for control of their glaucoma. Ninety-six percent of the patients showed an improvement in visual acuity improvement. Complications of flat peripheral anterior chambers and hyphema formation did not affect post-operative pressures or visual acuity results. The results encourage further investigation of this procedure.
17名患者的22只眼睛接受了白内障和青光眼联合手术，包括囊内白内障摘除术、小梁切除术和前房型人工晶状体植入术，平均随访一年。描述了手术技术。平均眼压从24.9毫米汞柱降至16.7毫米汞柱。73%的患者术后无需药物控制青光眼。96%的患者视力有所改善。周边前房变平及前房积血等并发症未影响术后眼压及视力结果。这些结果鼓励对该手术进行进一步研究。
