Pollack A, Katz H, Oliver M, Zalish M
Department of Ophthalmology, Kaplan Hospital, Rehovot, Israel.
Ophthalmic Surg Lasers. 1996 Jul;27(7):595-9.
To evaluate the postoperative recovery of the anterior segment and the course of diabetic retinopathy following a combined procedure of an extracapsular cataract extraction with posterior chamber intraocular lens implantation and trabeculectomy in diabetic patients with glaucoma.
The records of diabetic patients with uncontrolled glaucoma and cataract, who underwent a combined procedure in one eye, were retrospectively reviewed.
Eleven patients were included. The mean intraocular pressure and the amount of antiglaucomatous medications required to control it were both reduced postoperatively. Anterior segment complications included hyphema in 4 eyes (37%), fibrin formation in 4 eyes (37%), and posterior synechia in 3 eyes (27%). The hyphema resolved spontaneously and the fibrin disappeared following increased administration of steroids. Development of diabetic retinopathy occurred in 1 eye (9%). Cystoid macular edema without other evidence of diabetic retinopathy was observed in 1 eye (9%).
The control of intraocular pressure is improved in diabetic patients who have undergone this combined procedure. The postoperative course in these diabetic patients is similar to that previously described in the general population.
评估糖尿病性青光眼患者行白内障囊外摘除联合后房型人工晶状体植入及小梁切除术联合手术后眼前节的术后恢复情况及糖尿病视网膜病变的病程。
回顾性分析单眼接受联合手术的糖尿病性青光眼合并白内障患者的病历。
纳入11例患者。术后平均眼压及控制眼压所需的抗青光眼药物用量均降低。眼前节并发症包括4只眼（37%）前房积血、4只眼（37%）纤维蛋白形成和3只眼（27%）虹膜后粘连。前房积血自行消退，增加类固醇药物用量后纤维蛋白消失。1只眼（9%）发生糖尿病视网膜病变。1只眼（9%）观察到无其他糖尿病视网膜病变证据的黄斑囊样水肿。
接受该联合手术的糖尿病患者眼压得到改善。这些糖尿病患者的术后病程与先前在普通人群中描述的相似。
