Trabeculectomy combined with cataract extraction: a follow-up study.

Abstract

The aim of this retrospective study was to assess the outcome of combined cataract extraction and trabeculectomy, and to determine whether it is a safe, effective procedure for patients in whom cataract and glaucoma coexist.Trabeculectomy has been shown to be a safe, effective operation in both open-and closed-angle glaucoma1 2 and to a lesser extent in secondary glaucoma.3 A small study by Thyer and Wilson4 reported encouraging results when trabeculectomy was combined with cataract extraction for glaucoma patients with lens opacities. Further follow-up studies56 confirmed the efficacy of this procedure, but numbers were small in the first study, and the period of follow-up was only 3 months in the second. Midland Eye Hospital by consultant staff and junior staff in training. The 59 eyes have been followed up for a minimum of 6 months; of these, 51 have been followed up for 12 months and 28 for 2 years. Most of the patients were over the age of 60 years (age range 23-87 years; mean age 69 years).

Trabeculectomy According to Cairns Combined with Extracapsular Lens Extraction and Intraocular Lens Implant in the Posterior Chamber

“…In conclu sion our results are in agreement with those observed after the combined surgery trabe culectomy and simple cataract extraction [7,8], It is imperative that the functioning of the trabeculectomy is not hindered by the cata ract surgery. Ideally a very efficient filtration depends on the maintenance of the transcleral fistula and on the capacity of absorption of the subconjunctival tissues.…”

A Comparative Study Between Single Site and Two Different Sites Phacotrabeculectomy

“…was achieved, without additional medical therapy, in 24 (85.7%) eyes. The success rates for eyes not receiving postsurgical treatment in a series of similar combined operations varied from 80% to 95% Hilsdorf, (6) Bregest, (7) Jerndal & Lundstrom, (8) Manzoor et al, (9) Edwards, (10) and Wechsler & Robinson, (11) Our results are favourably comparable with these studies.…”

“…He mentioned for specific indication for each case. Edwards (10) extracted 59 cataracts with trabeculectomy, the follow-up varying between 6 months to 2 years. 16 Reported trabeculectomy with cataract extraction in 20 cases (7 chronic simple glaucoma, 3 exfoliative and 10 lens induced).…”

Mitomicina C colírio como tratamento para granuloma piogênico em cavidade anoftámica

“…Seu mecanismo de ação mimetiza a radiação ionizante com uma ação que se prolonga após a interrupção do tratamento (3)(4) . A MMC tópica diluída atualmente vem sendo utilizada em oftalmologia no pré-operatório da exérese de pterígios recidivados (5)(6)(7) , como coadjuvante em casos selecionados de trabeculectomias (8)(9)(10)(11)(12) , como modulador em cirurgias refrativas (4) , no tratamento das neoplasias intra-epiteliais corneanas (13) , da melanose conjuntival primária adquirida com atipia (14)(15) , nas cirurgias de dacriocistorrinostomias (16)(17) e na atenuação dos períodos de exacerbação da ceratoconjuntivite primaveril (18) . Um estudo recente realizado pelo Serviço de Córnea, Doenças Externas Oculares, Catarata e Cirurgia Refrativa do Hospital São Geraldo -UFMG, confirmou a eficácia da MMC Mitomicina C colírio como tratamento para granuloma piogênico em cavidade anoftámica Objetivo: Avaliar a eficácia do uso tópico de colírio de mitomicina C 0,02% (MMC 0,02%) no tratamento de pacientes com granuloma piogênico em cavidade anoftálmica.…”