The Efficacy and Safety of Combined Trabeculectomy Cataract Extraction, and Intraocular Lens Implantation

David L. McCartney, James E. Memmen, Walter J. Stark, Harry A. Quigley, A. Edward Maumenee, John D. Gottsch, David A. Bernitsky, Stephen K. Wong

Research output: Contribution to journalArticle

Abstract

The safety and efficacy of combined trabeculectomy, extracapsular cataract extraction (ECCE), and posterior chamber intraocular lens (PC IOL) implantation were evaluated by retrospectively analyzing 108 consecutive operations. Postoperatively, 89% of eyes achieved 20/40 or better visual acuity when preoperative macular and optic nerve diseases were excluded. Mean follow-up was 16.8 months. Intraocular pressure (IOP) control (≤21 mmHg) was achieved in 92% of eyes; 57% required no medications. Capsulotomy (20%) and transient hyphema (15%) occurred significantly more often (P < 0.001) than in a comparison group. These results suggest that the combined procedure gives excellent visual rehabilitation and IOP control in the majority of patients included in this analysis.

Original languageEnglish (US)
Pages (from-to)754-763
Number of pages10
JournalOphthalmology
Volume95
Issue number6
DOIs
StatePublished - 1988

Keywords

  • cataract
  • combined procedure
  • glaucoma
  • intraocular lenses
  • trabeculectomy

ASJC Scopus subject areas

  • Ophthalmology

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