Combined cataract and glaucoma surgery. Trabeculectomy vs Erb:YAG goniotomy

被引：3
作者：
Beuerle S. [1 ,2 ]
Philippin H. [1 ]
Funk J. [1 ]
机构：
[1] Augenklinik, Universität Frieburg
[2] Augenklinik, Universität, 79106 Freiburg
来源：
Der Ophthalmologe | 2006年 / 103卷 / 7期
关键词：
Combined cataract and glaucoma surgery; Erb:YAG laser; Excimer laser; Glaucoma;
D O I：
10.1007/s00347-006-1360-5
中图分类号：
学科分类号：
摘要：
Background. The surgical therapy of glaucoma aims at an effective IOP lowering as well as at a long-term effect with few complications. The previous gold standard of combined surgery consisted of cataract surgery and trabeculectomy. The combination of cataract surgery and Erb:YAG goniotomy might be an alternative. Methods and patients. A total of 17 eyes were treated with combined Erb:YAG goniotomy. The control group underwent combined trabeculectomy and consisted of 23 eyes. The mean follow-up was 5 years and assessed IOP lowering, visual acuity, antiglaucomatous drugs, and complications. Results. After 5 years the IOP of the Erb:YAG group decreased from 23.3 to 16.9 mmHg. In the control group, the IOP was reduced from 23.3 mmHg to 15.8 mmHg. Two eyes of the Erb:YAG group needed further surgery due to unsufficient IOP control, whereas in the control group ten repeat procedures were necessary. Conclusions. The small number of complications in combination with a sustainable IOP-lowering effect seems to be an advantage in the long-term treatment of glaucoma. We hope that this can be transferred to the new excimer laser trabeculotomy since the 3-year results are already comparable to the Erb:YAG laser. © Springer Medizin Verlag 2006.
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页码：605 / 608
页数：3
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