F. Ducousso et al., COMBINED SURGERY FOR CATARACT AND GLAUCOM A - ECCE AND TRABECULECTOMYVERSUS PHACOEMULSIFICATION AND TRABECULECTOMY, Journal francais d'ophtalmologie, 17(8-9), 1994, pp. 475-485
This retrospective study was conducted to evaluate the results of Comb
ined Surgery of Cataract and Glaucoma (triple procedure). The procedur
e of combined surgery were trabeculectomy and extracapsular extraction
(14 eyes) versus trabeculectomy and phacoemulsification (15 eyes). Th
e follow-up of both groups was at least 9 months and up to 16 months (
mean: 12 months). The mean decrease of IOP was 12.4 mmHg and 8.9 mmHg
in the first and second group respectively. Instillation of Beta-block
ers twelve months after surgery were more frequent in the first group
(64.3%) than in the second (26.7%). Finally, the IOP values one year a
fter surgery were equivalent in both groups (less than 19 mmHg in 93%
of cases). The mean features to emphasize the delay of recuperation of
the best corrected visual acuity: one month for phacotrabeculectomy,
and three months for extracapsular with trabeculectomy. The frequency
of complications was low in both groups. We observed more hyphemas but
less secondary cataracts in the phacotrabeculectomy group. Phacotrabe
culectromy could become a reference procedure for combined glaucoma an
d cataract surgery.