Kendrick R, Kollarits C R, Khan N
Eye Institute of Northwestern Ohio, Toledo, USA.
Ophthalmic Surg Lasers. 1996 Jul;27(7):583-6.
When cataract surgery and glaucoma surgery are combined, the theoretical advantages of pressure control, removal of the visual impairment, and protection against an increase in intraocular pressure (IOP) in the immediate postoperative period are gained. The authors' objective was to determine whether ab interno laser thermal sclerostomy (LTS) combined with cataract surgery would be as effective as trabeculectomy combined with cataract surgery.
Ab interno LTS was compared with trabeculectomy, retrospectively, for patients who had undergone combined cataract and glaucoma surgery.
There was no significant difference in the numbers of patients using no medications or fewer medications at 6 and 12 months. There was a greater reduction in IOP in the LTS group.
LTS may be better than trabeculectomy in combined cataract and glaucoma surgery because it reduces the IOP more. Compared with trabeculectomy, LTS is simpler to perform and adds less operating time to cataract surgery. Continued follow-up is recommended.
当白内障手术与青光眼手术联合进行时，可获得眼压控制、消除视力障碍以及防止术后短期内眼压升高的理论优势。作者的目的是确定内路激光小梁成形术（LTS）联合白内障手术是否与小梁切除术联合白内障手术一样有效。
对接受白内障合并青光眼联合手术的患者进行回顾性研究，比较内路LTS与小梁切除术。
在6个月和12个月时，未使用药物或使用较少药物的患者数量无显著差异。LTS组眼压降低幅度更大。
在白内障合并青光眼联合手术中，LTS可能优于小梁切除术，因为它能更大程度地降低眼压。与小梁切除术相比，LTS操作更简单，且给白内障手术增加的手术时间更少。建议继续随访。
