The Long-Term Effect on Intraocular Pressure of a Procedure Combining Trabeculectomy and Cataract Surgery, as Compared With Trabeculectomy Alone

Autor:	D Bar-Sever, R Kottass, J Glovinsky, N Naveh, M Blumenthal
Rok vydání:	1990
Předmět:	medicine.medical_specialty Intraocular pressure genetic structures business.industry medicine.medical_treatment Eye disease Glaucoma Intraocular lens Combined procedure Cataract surgery medicine.disease eye diseases Surgery Ophthalmology medicine Trabeculectomy Term effect sense organs business
Zdroj:	Ophthalmic Surgery, Lasers and Imaging Retina. 21:339-345
ISSN:	2325-8179 2325-8160
DOI:	10.3928/1542-8877-19900501-09
Popis:	The long-term reduction of intraocular pressure OOP) resulting from a procedure combining extracapsular cataract extraction and posterior chamber lens implantation with trabeculectomy was compared retrospectively with the IOP-lowering effect of trabeculectomy alone. Forty patients who underwent the combined procedure and 38 who underwent trabeculectomy alone had been followed for an average of 22 ±7 months. Both these surgical procedures significantly reduced IOP, but after a year or more, pressure levels were significantly lower in the trabeculectomy group than they were in the combined group: 12.8 ±4.2 mm Hg, and 16.5 ±5.6 mm Hg, respectively, at 18 months. Also, the mean postoperative fall in IOP was greater in the "filtered" eyes than it was in the combined group (9.8 ±4.6 mm Hg and 12.1 ±5.2 mm Hg, respectively, at 18 months). Finally, the number of medications required to maintain controlled IOP in the combined group was greater (and resumed preoperative values at 2 years) than it was in the trabeculectomy group (62.5% of the filtered eyes remained controlled unaided).
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::a91b1830d2cc37beaf8c7c79eaed8328 https://doi.org/10.3928/1542-8877-19900501-09 Zobrazit plný text záznamu