Combined extracapsular cataract extraction and trabeculectomy using a separated corneal section

A retrospective study of 35 cases of extracapsular cataract extraction with posterior chamber lens implant combined with trabeculectomy was undertaken. The cataract extractions were performed through a corneal section to separate the cataract wound from the trabeculectomy. Control of intraocular pressure was achieved without medication in 77% of cases. Median improvement in visual acuity was 3.5 lines at one year. This technique provided improved trabeculectomy drainage compared with previous reports for corneoscleral incisions. Improvement in visual acuity was poorer for a group of patients with severe preoperative field loss.