Cataract surgery after trabeculectomy

Cataract surgery after trabeculectomy

Author Seah, Steve KL Google Scholar
Jap, Aliza Google Scholar
Prata Junior, João Antonio Autor UNIFESP Google Scholar
Baerveldt, George Google Scholar
Lee, Paul P. Google Scholar
Heuer, Dale K. Google Scholar
Minckler, Donald S. Google Scholar
Institution UNIV SO CALIF
Universidade Federal de São Paulo (UNIFESP)
Abstract BACKGROUND AND OBJECTIVE: To determine the effect of cataract surgery on glaucomatous eyes with good intraocular pressure (IOP) control after trabeculectomy.PATIENTS AND METHODS: Twenty-two eyes with functional blebs that underwent cataract extraction were retrospectively analyzed.RESULTS: The mean (+/- SD) preoperative IOP was 11.0 +/- 4.3 mm Hg. The mean (+/- SD) postoperative IOPs at 1, 2, 6, and 9 months were 15.5 +/- 4.9, 12.6 +/- 4.7, 14.6 +/- 5.6, and 19.0 +/- 7.9 mm Hg, respectively. At each interval except for the second month, the mean IOP was statistically significantly higher than the preoperative value (P = .0003, .24, .02, and .0009, respectively). The total number of medications was also higher (3 preoperatively versus 27 postoperatively). The interval between the two surgeries had no influence on IOP control. Intraoperative complications during cataract surgery, particularly vitreous loss, were associated with poor IOP control. Phacoemulsification had less of an effect on the postoperative IOP control than did extracapsular cataract extraction.CONCLUSIONS: Eyes with previous successful trabeculectomies had higher IOPs and required more medications after subsequent cataract surgeries.
Language English
Date 1996-07-01
Published in Ophthalmic Surgery And Lasers. Thorofare: Slack Inc, v. 27, n. 7, p. 587-594, 1996.
ISSN 0022-023X (Sherpa/Romeo, impact factor)
Publisher Slack Inc
Extent 587-594
Origin http://dx.doi.org/10.3928/1542-8877-19960701-05
Access rights Closed access
Type Article
Web of Science ID WOS:A1996UW23100003
URI http://repositorio.unifesp.br/11600/45070

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