Combined cataract extraction and thermal sclerostomy versus combined cataract extraction and trabeculectomy.

Abstract

We performed either a combined cataract extraction and trabeculectomy or a combined cataract extraction and thermal sclerostomy on 43 eyes. All eyes had chronic open angle glaucoma or chronic angle closure glaucoma, or a combination of the two. In our cataract/trabeculectomy group, 74% had improvement in visual acuity, 91% had normalized intraocular pressure without anti-glaucoma medications, 31% had transient postoperative hyphemas. In our cataract/thermal sclerostomy group, 61% had improvement in visual acuity, 61% had normalization of intraocular pressures without antiglaucoma medications, 17% had transient postoperative hyphemas. We could not correlate any of the complications of surgery with poor intraocular pressure results in either groups. The mechanism for the higher success rate with a combined cataract extraction and trabeculectomy as compared with a combined cataract extraction and thermal sclerostomy was not obvious after analyzing these patients.

• Authors: R H Stewart, M D Loftis
• Journal: Ophthalmic surgery (Ophthalmic Surg) Vol. 7 Issue 3 Pg. 93-5 ( 1976) ISSN: 0022-023X [Print] United States
• PMID: 980383 (Publication Type: Comparative Study, Journal Article)

Topics

• Cataract Extraction (methods)
• Granuloma (surgery)
• Humans
• Intraocular Pressure
• Postoperative Complications
• Sclera (surgery)
• Trabecular Meshwork (surgery)