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[Cataract surgery following goniotrephination]

F H Prskavec, H Freyler

    Klinische Monatsblatter Fur Augenheilkunde
    |January 1, 1980
    PubMed
    Summary
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    Cataract surgery after goniotrephination is effective, with most patients achieving well-regulated intraocular pressure. Some cases required medication, but overall outcomes were positive for managing post-surgical pressure.

    Area of Science:

    • Ophthalmology
    • Surgical Innovation

    Context:

    • Previous goniotrephination (after Fronimopoulos) can impact subsequent cataract surgery outcomes.
    • Assessing the long-term effects of goniotrephination on ocular structures is crucial.

    Purpose:

    • To evaluate the outcomes of cataract surgery in patients previously treated with goniotrephination.
    • To assess the patency of the goniotrephination cleft and its effect on intraocular pressure post-cataract surgery.

    Summary:

    • This study reports on 20 patients who underwent cataract surgery 1-3 years after goniotrephination.
    • Goniotrephination cleft patency varied: 10 open, 4 partially closed, 6 occluded.
    • 16 patients achieved normotension without medication; 4 required short-term or long-term mitotic therapy.

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    Impact:

    • Cataract surgery following goniotrephination demonstrates favorable intraocular pressure control in the majority of cases.
    • Findings suggest that goniotrephination does not preclude successful cataract surgery and subsequent pressure regulation.
    • This study provides valuable insights for ophthalmic surgeons managing complex glaucoma and cataract cases.