Menezo J L, Maldonado M J, Muñoz G, Cisneros A L
Department of Ophthalmology, University Hospital La Fe, Valencia, Spain.
J Cataract Refract Surg. 1994 Sep;20(5):498-503. doi: 10.1016/s0886-3350(13)80227-1.
To ascertain the long-term effects of a triple procedure in the case of coexisting cataract and glaucoma, we did a retrospective study of 93 eyes that had cataract extraction, IOL implantation, and trabeculectomy within a ten-year period. Mean follow-up was 32.4 +/- 21.9 months. Mean postoperative intraocular pressure (IOP) was significantly lower than preoperatively, even though fewer medications were being used. One year after surgery, 60% of eyes had a best corrected visual acuity of 20/40 or better with an average improvement of 3.8 Snellen lines. Patients who had had surgery four or more years before the study had the highest percentage of eyes with an IOP exceeding 22 mm Hg. This group also had the poorest IOP control when no medications were used and when the patient took fewer medications than before surgery. The finding that IOP control decreases with postoperative time raises questions about the long-term success of the triple procedure in controlling IOP.
为了确定三联手术对白内障与青光眼并存病例的长期影响，我们对93只眼睛进行了一项回顾性研究，这些眼睛在十年内接受了白内障摘除、人工晶状体植入和小梁切除术。平均随访时间为32.4 +/- 21.9个月。尽管使用的药物较少，但术后平均眼压（IOP）显著低于术前。术后一年，60%的眼睛最佳矫正视力达到20/40或更好，平均提高了3.8行斯内伦视力表。在研究前四年或更长时间接受手术的患者中，眼压超过22 mmHg的眼睛比例最高。当不使用药物以及患者使用的药物比手术前减少时，该组的眼压控制也最差。眼压控制随术后时间下降这一发现，引发了关于三联手术控制眼压长期成功率的疑问。
