Ducousso F, Coulon P, Kovalski J L, Barach D, Ballion J C, Bazin S, Roques J C, Verin P
Service d'Ophtalmologie, Hôpital d'Instruction des Armées Robert-Picqué, Toulouse.
J Fr Ophtalmol. 1994;17(8-9):475-85.
This retrospective study was conducted to evaluate the results of Combined Surgery of Cataract and Glaucoma (triple procedure). The procedure of combined surgery were trabeculectomy and extracapsular extraction (14 eyes) versus trabeculectomy and phacoemulsification (15 eyes). The follow-up of both groups was at least 9 months and up to 16 months (mean: 12 months). The mean decrease of IOP was 12.4 mmHg and 8.9 mm Hg in the first and second group respectively. Instillation of Beta-blockers twelve months after surgery were more frequent in the first group (64.3%) than in the second (26.7%). Finally, the IOP values one year after surgery were equivalent in both groups (less than 19 mmHg in 93% of cases). The mean features to emphasize the delay of recuperation of the best corrected visual acuity: one month for phacotrabeculectomy, and three months for extracapsular with trabeculectomy. The frequency of complications was low in both groups. We observed more hyphemas but less secondary cataracts in the phacotrabeculectomy group. Phacotrabeculectomy could become a reference procedure for combined glaucoma and cataract surgery.
本回顾性研究旨在评估白内障与青光眼联合手术（三联手术）的效果。联合手术方式为小梁切除术与囊外摘除术（14只眼）对比小梁切除术与超声乳化术（15只眼）。两组的随访时间至少9个月，最长16个月（平均：12个月）。第一组和第二组的眼压平均降幅分别为12.4 mmHg和8.9 mmHg。术后12个月，第一组（64.3%）使用β受体阻滞剂滴眼的频率高于第二组（26.7%）。最后，两组术后一年的眼压值相当（93%的病例眼压低于19 mmHg）。需着重强调的最佳矫正视力恢复延迟的平均情况：超声乳化小梁切除术为1个月，囊外摘除联合小梁切除术为3个月。两组的并发症发生率均较低。我们观察到超声乳化小梁切除术组前房积血较多，但继发性白内障较少。超声乳化小梁切除术可能会成为青光眼与白内障联合手术的参考术式。
