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Gewählte Publikation:

Wedrich, A; Menapace, R; Hirsch, U; Papapanos, P; Derbolav, A; Ries, E.
Comparison of results and complications following combined ECCE-trabeculectomy versus small-incision-trabeculectomy and posterior chamber lens implantation.
Int Ophthalmol. 1996; 20(1-3): 125-129.
Web of Science PubMed

 

Autor/innen der Med Uni Graz:
Wedrich Andreas
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Abstract:
PURPOSE: To compare the efficacy and complication rate of two standard cataract extraction techniques with different incision lengths when combined with trabeculectomy. METHODS: 54 eyes after combined ECCE, posterior chamber lens implantation and trabeculectomy (ECCE-group) are compared with 49 eyes following phacoemulsification, trabeculectomy and implantation of a folded flexible posterior chamber lens (small-incision group). Minimum follow-up was 24 months. RESULTS: Glaucoma control was achieved in all eyes of both groups. There was a tendency towards a higher number of patients without therapy in the small-incision group (82% versus 65%, p = 0.07). Final mean IOP (14.2 +/- 3.0 mmHg versus 15.5 +/- 2.7 mmHg, p = 0.02) and mean therapy index (0.2 +/- 0.5 versus 0.4 +/- 0.6, p = 0.03) were significantly lower in the small-incision group. Postoperative complications such as severe fibrin effusion (41% versus 18%, p = 0.018), early postoperative IOP rises > 25 mmHg (18% versus 2%, p = 0.009), filtering bleb scarring (63% versus 8%, p < 0.0001) and the total number of complications (87% versus 63%, p = 0.006) were significantly higher in the ECCE-group. CONCLUSION: With the decrease of the incision size necessary for the cataract extraction a reduction of postoperative complications and better functional results are achieved in combined cataract/glaucoma surgery.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Aged, 80 and over -
Cataract - complications
Comparative Study - complications
Female - complications
Follow-Up Studies - complications
Glaucoma - physiopathology
Humans - physiopathology
Intraocular Pressure - physiopathology
Lenses, Intraocular - adverse effects
Male - adverse effects
Middle Aged - adverse effects
Phacoemulsification - adverse effects
Postoperative Complications - adverse effects
Retrospective Studies - adverse effects
Sutures - adverse effects
Trabeculectomy - adverse effects
Treatment Outcome - adverse effects
Visual Fields - adverse effects

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