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Lens implantation combined with trabeculectomy
Transactions of the Ophthalmological Societies of the United Kingdom
|January 1, 1985
Summary
This study on combined trabeculectomy and lens implantation found a mean intraocular pressure reduction of 13 mmHg. The combined surgery is recommended only when other filtering operations are not feasible due to increased inflammation.
Area of Science:
- Ophthalmology
- Surgical Procedures
- Glaucoma Treatment
Background:
- Extracapsular surgery often necessitates further intervention for intraocular pressure management.
- Combined procedures aim to address both cataract and glaucoma simultaneously.
Purpose of the Study:
- To evaluate the efficacy and outcomes of combined trabeculectomy and posterior lens implantation.
- To assess the impact of filter site location on surgical success.
- To determine the indications for this combined approach.
Main Methods:
- Seventeen cases of combined trabeculectomy and posterior lens implantation were reviewed.
- Follow-up ranged from three to 17 months.
- Intraocular pressure reduction and postoperative inflammation were key metrics.
Main Results:
- A mean reduction of 13 mmHg in intraocular pressure was observed.
- No correlation was found between filter site histology and surgical effectiveness.
- Postoperative inflammation was higher compared to simple lens implantations.
Conclusions:
- Combined trabeculectomy and lens implantation can effectively reduce intraocular pressure.
- This procedure is best reserved for cases where alternative filtering surgeries are not viable.
- Iris sutures are beneficial in preventing iridectomy limb retraction post-iridotomy.