Abstract
A new triple surgery procedure was applied to 20 primary open-angle glaucomatous (POAG) eyes. This technique comprises trabeculotomy with narrow (2–3 mm) fornix-based scleral flap, combined with extracapsular cataract extraction (ECCE) and posterior chamber intraocular lens (PC-IOL) implantation. As to surgical results, at two years postsurgery 53% (9/17) of the eyes were controlled under 21 mm Hg without medication, 35% (6/17) with topical medication alone. Eighteen (90%) eyes showed improved visual acuity of two or more Snellen lines. No serious postoperative complications occurred. There was no significant difference in postoperative astigmatism as compared with ordinary ECCE and PC-IOL surgery. Trabeculotomy with fornix-based scleral flap offers the advantage of simple and safe surgery when combined with ECCE and PC-IOL implantation.
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Abbreviations
- POAG:
-
primary open-angle glaucomatous
- ECCE:
-
extracapsular cataract extraction
- PC-IOL:
-
posterior chamber intraocular lens
- IOP:
-
intraocular pressure
References
Handa J, Henry JC, Krupin T, Keates E. Extracapsular cataract extraction with posterior chamber lens implantation in patients with glaucoma. Arch Ophthalmol 1987; 105: 765–769.
Percival SPB. Glaucoma triple procedure of extracapsular cataract extraction, posterior chamber lens implantation, and trabeculectomy. Br J Ophthalmol 1985; 69: 99–102.
Tomey KF, Senft SH, Antonios SR, Shammas IV, Shihab ZM, Traverso CE. Aqueous misdirection and flat chamber after posterior chamber implants with and without trabeculectomy. Arch Ophthalmol 1987; 105: 770–773.
Dannheim R. Trabeculotomy ab externo.In: Heilmann K, Richardson KT, eds. Glaucoma-conceptions of a disease. Stuttgart: Georg Thieme, 1978: 332–334.
Burian HM. A case of Marfan's syndrome with bilateral glaucoma. Am J Ophthalmol 1960; 50: 1187–1192.
Smith R. A new technique for opening the canal of Schlemm. Br J Ophthalmol 1960; 44: 370–375.
Saito Y, Kiboshi H. A new intra-anterior chamber iris suturing method. Am J Ophthalmol 1988; 105: 701–703.
Miyake K, Maekubo K, Miyake Y, Nishi O. Pupillary fibrin membrane. Ophthalmology 1989; 96: 1228–1232.
McMahan LB, Monica ML, Zimmermann TJ. Posterior chamber pseudophakes in glaucoma patients. Ophthalmic Surg 1986; 17: 146–150.
Ohanesian RV, Kim EW. A prospective study of combined extracapsular cataract extraction, posterior chamber lens implantation, and trabeculectomy. Am Intraocular Implant Soc J 1985; 11: 142–145.
Dannheim R, Hetzinger A. Trabeculotomy and cataract extraction: simultaneously or step by step? Klin Mbl Augenheilk 1978; 173: 542–549.
Sautter H, Hemeler U, Naumann G. Simultaneous trabeculotomy and intracapsular cataract extraction. Klin Mbl Augenheilk 1974; 164: 65–71.
Shoji M, Suga K. A retrospective study of combined extracapsular cataract extraction, intraocular lens implantation and trabeculotomy. Folia Ophthalmol Jpn (Ganki) 1987; 38: 520–524.
Neumann AC, McCarty GR, Sanders DR, Raanan MG. Small incision to control astigmatism during cataract surgery. J Cat Refractive Surg 1989; 15: 78–84.
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Saito, Y., Oo, A., Okamoto, S. et al. Glaucoma triple procedure comprising trabeculotomy with a fornix-based scleral flap. Doc Ophthalmol 89, 393–400 (1995). https://doi.org/10.1007/BF01203715
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DOI: https://doi.org/10.1007/BF01203715