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COMBINED TRABECULECTOMY AND CATARACT OPERATION
Author(s) -
KLEMETTI ANNELI,
KALIMA TIMO
Publication year - 1982
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1982.tb08380.x
Subject(s) - trabeculectomy , medicine , ophthalmology , glaucoma , intraocular pressure , significant difference , open angle glaucoma , medical therapy , surgery
In a study of 94 combined cataract and trabeculectomy operations performed for 59 open angle simplex and 35 capsular glaucoma with coexisting cataract, followed up for 1 to 9 years, the overall control of intraocular pressure (≤21 mmHg) without therapy was achieved in 61 eyes (65%). The average follow‐up time was 3.4 years. The success rate 76% after 1 year follow‐up decreased to 63% after 2 years and went from 45 to 66% over a 3 to 8 years follow‐up period. Post‐surgical therapy was required in 33 eyes (35%). Of these 31 eyes were controlled with medical therapy alone. In the light of the results the maintenance of filtration was considered the most important factor of succes. Most frequent complications, transient hypotony (37%) and hyphaema (30%) had no significant effect on eventual succes. As regards the diagnostic categories no significant difference existed in the success rates between the simplex and capsular glaucoma groups. The importance of periodic observation is discussed.