Mamalis N, Lohner S, Rand A N, Crandall A S
John Moran Eye Center, University of Utah, Salt Lake City 84132, USA.
J Cataract Refract Surg. 1996 May;22(4):467-73. doi: 10.1016/s0886-3350(96)80044-7.
To analyze the results of phacoemulsification and posterior chamber intraocular lens (IOL) implantation combined with trabeculectomy.
John Moran Eye Center, University of Utah, Salt Lake City.
Two hundred twelve eyes of 174 patients with glaucoma and cataracts were analyzed retrospectively after cataract removal by phacoemulsification with posterior chamber IOL implantation combined with trabeculectomy.
With an average follow-up of 26 months, patients had a significant improvement in visual acuity. The preoperative mean intraocular pressure (IOP) of 23.1 mm Hg decreased postoperatively to 15.9 mm Hg. Mean number of glaucoma medications decreased from 1.85 preoperatively to 0.41 postoperatively. Twenty-one patients (10% had a postoperative IOP of greater than 21 mm Hg, and seven required trabeculectomy revisions.
Combined phacoemulsification, posterior chamber IOL implantation, and trabeculectomy yielded excellent results in the treatment of patients with both cataract and glaucoma.
分析超声乳化白内障吸除联合后房型人工晶状体（IOL）植入术与小梁切除术的结果。
盐湖城犹他大学约翰·莫兰眼科中心。
回顾性分析174例患有青光眼和白内障的患者的212只眼睛，这些眼睛在接受超声乳化白内障吸除联合后房型IOL植入术与小梁切除术后进行了分析。
平均随访26个月，患者视力有显著改善。术前平均眼压（IOP）为23.1毫米汞柱，术后降至15.9毫米汞柱。青光眼药物的平均使用数量从术前的1.85种降至术后的0.41种。21例患者（10%）术后眼压大于21毫米汞柱，7例需要进行小梁切除术修正。
超声乳化白内障吸除、后房型IOL植入术与小梁切除术联合应用在治疗白内障和青光眼患者方面取得了优异的效果。
