COMBINED TRABECULECTOMY, CATARACT-EXTRACTION, AND FOLDABLE LENS IMPLANTATION

被引:25
作者
PARKER, JS [1 ]
GOLLAMUDI, S [1 ]
JOHN, G [1 ]
STARK, WJ [1 ]
机构
[1] JOHNS HOPKINS UNIV HOSP,WILMER OPHTHALMOL INST,600 N WOLFE ST,BALTIMORE,MD 21205
关键词
CATARACT; COMBINED PROCEDURE; GLAUCOMA; INTRAOCULAR LENS; TRABECULECTOMY;
D O I
10.1016/S0886-3350(13)80447-6
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
The efficacy of foldable silicone intraocular lenses in combined glaucoma/cataract surgery was retrospectively analyzed in 19 consecutive operations. Preoperatively all patients were receiving medical treatment for glaucoma; 21% had intraocular pressures above 21 mm Hg despite the medical therapy. Postoperatively, reduction of intraocular pressure to 21 mm Hg or less was achieved in 84% of eyes, with 58% requiring no antiglaucoma medications. Mean improvement of Snellen visual acuity was 4.9 lines; 84% of eyes achieved a final acuity of 20/40 or better. Median follow-up was 59 weeks (range 25 to 88 weeks). Thirteen eyes (68%) had a filtration bleb present when last examined. These preliminary results suggest that foldable silicone IOLs are an effective alternative to poly-(methyl methacrylate) lenses in combined glaucoma/cataract surgery.
引用
收藏
页码:582 / 585
页数:4
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