Glaucoma triple procedures: efficacy of intraocular pressure control and visual outcome

Ophthalmic Surg. 1990 Nov;21(11):786-93.

Abstract

Sixty-three glaucoma triple surgeries [combined trabeculectomy, extracapsular cataract extraction (ECCE), and posterior-chamber intraocular lens (PC-IOL) implantation] were reviewed. Intraocular pressure (IOP) was controlled satisfactorily in all cases; 25% required additional glaucoma therapy but fewer glaucoma medications. Eighty-six percent achieved 6/12 or better visual acuity. Postoperative IOP and visual acuity results were similar to those achieved by trabeculectomy or ECCE/PC-IOL, respectively. Cumulative years of preoperative glaucoma therapy had an adverse effect on postoperative IOP control.

MeSH terms

  • Aged
  • Cataract / complications
  • Cataract Extraction
  • Female
  • Glaucoma / complications
  • Glaucoma / physiopathology
  • Glaucoma / surgery*
  • Humans
  • Intraocular Pressure*
  • Lenses, Intraocular
  • Male
  • Postoperative Complications
  • Retrospective Studies
  • Trabeculectomy
  • Visual Acuity