Prospective intrapatient comparison of extracapsular cataract extraction and lens implantation with and without trabeculectomy
Identifieur interne : 007D23 ( Main/Exploration ); précédent : 007D22; suivant : 007D24Prospective intrapatient comparison of extracapsular cataract extraction and lens implantation with and without trabeculectomy
Auteurs : James C. Bobrow [Niger, États-Unis]Source :
- American Journal of Ophthalmology [ 0002-9394 ] ; 1999.
Abstract
PURPOSE:To determine whether extracapsular cataract extraction and posterior chamber lens implantation combined with trabeculectomy provides better long-term results than extracapsular cataract extraction and lens implantation alone in a group of patients with primary open-angle glaucoma and cataract.METHODS:In a prospective, randomized clinical trial, 35 patients with bilateral, symmetric, primary open-angle glaucoma and visually disabling cataracts were randomly selected to undergo surgery with trabeculectomy in one eye and without in the other. All procedures were performed by a single surgeon in a private practice setting with follow-up for more than 5 years in all cases.RESULTS:After an average of 87 months of follow-up, extracapsular cataract extraction and posterior chamber lens implantation reduced intraocular pressure by 4.4 ± 3.3 mm Hg, reduced the number of medications by 1.28 ± 0.86, increased diopter vector of astigmatism by 1.49, and was associated with visual field loss in six of 35 eyes. After an average of 80 months of follow-up, extracapsular cataract extraction and posterior chamber lens implantation with trabeculectomy reduced intraocular pressure by 8.2 ± 4.6 mm Hg (P = .0001), reduced the number of medications by 1.76 ± 0.82 (P= .0002), increased diopter vector of astigmatism by 1.14, and was associated with visual field loss in one eye (P = .05). Both groups had similar improvement in visual acuity and perioperative complications.CONCLUSIONS:Extracapsular cataract extraction and posterior chamber lens implantation with trabeculectomy was beneficial in the long-term control of intraocular pressure and in prevention of visual field loss. This procedure should be considered for patients in whom long-term pressure control at a lower level would be beneficial in preventing further optic nerve damage.
Url:
DOI: 10.1016/S0002-9394(99)00342-6
Affiliations:
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Bobrow</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:3D7551C883DCF597C0E590AFFF5A4A70431541B2</idno><date when="2000" year="2000">2000</date><idno type="doi">10.1016/S0002-9394(99)00342-6</idno><idno type="url">https://api.istex.fr/document/3D7551C883DCF597C0E590AFFF5A4A70431541B2/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">003344</idno><idno type="wicri:Area/Istex/Curation">003344</idno><idno type="wicri:Area/Istex/Checkpoint">003063</idno><idno type="wicri:doubleKey">0002-9394:2000:Bobrow J:prospective:intrapatient:comparison</idno><idno type="wicri:Area/Main/Merge">008410</idno><idno type="wicri:Area/Main/Curation">007D23</idno><idno type="wicri:Area/Main/Exploration">007D23</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Prospective intrapatient comparison of extracapsular cataract extraction and lens implantation with and without trabeculectomy</title><author><name sortKey="Bobrow, James C" sort="Bobrow, James C" uniqKey="Bobrow J" first="James C" last="Bobrow">James C. Bobrow</name><affiliation wicri:level="1"><country wicri:rule="url">Niger</country></affiliation><affiliation wicri:level="4"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St Louis, Missouri</wicri:regionArea><placeName><region type="state">Missouri (État)</region></placeName><orgName type="university">École de médecine (Université Washington de Saint-Louis)</orgName></affiliation></author></analytic><monogr></monogr><series><title level="j">American Journal of Ophthalmology</title><title level="j" type="abbrev">AJOPHT</title><idno type="ISSN">0002-9394</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999">1999</date><biblScope unit="volume">129</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="291">291</biblScope><biblScope unit="page" to="296">296</biblScope></imprint><idno type="ISSN">0002-9394</idno></series><idno type="istex">3D7551C883DCF597C0E590AFFF5A4A70431541B2</idno><idno type="DOI">10.1016/S0002-9394(99)00342-6</idno><idno type="PII">S0002-9394(99)00342-6</idno><idno type="ArticleID">795</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-9394</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">PURPOSE:To determine whether extracapsular cataract extraction and posterior chamber lens implantation combined with trabeculectomy provides better long-term results than extracapsular cataract extraction and lens implantation alone in a group of patients with primary open-angle glaucoma and cataract.METHODS:In a prospective, randomized clinical trial, 35 patients with bilateral, symmetric, primary open-angle glaucoma and visually disabling cataracts were randomly selected to undergo surgery with trabeculectomy in one eye and without in the other. All procedures were performed by a single surgeon in a private practice setting with follow-up for more than 5 years in all cases.RESULTS:After an average of 87 months of follow-up, extracapsular cataract extraction and posterior chamber lens implantation reduced intraocular pressure by 4.4 ± 3.3 mm Hg, reduced the number of medications by 1.28 ± 0.86, increased diopter vector of astigmatism by 1.49, and was associated with visual field loss in six of 35 eyes. After an average of 80 months of follow-up, extracapsular cataract extraction and posterior chamber lens implantation with trabeculectomy reduced intraocular pressure by 8.2 ± 4.6 mm Hg (P = .0001), reduced the number of medications by 1.76 ± 0.82 (P= .0002), increased diopter vector of astigmatism by 1.14, and was associated with visual field loss in one eye (P = .05). Both groups had similar improvement in visual acuity and perioperative complications.CONCLUSIONS:Extracapsular cataract extraction and posterior chamber lens implantation with trabeculectomy was beneficial in the long-term control of intraocular pressure and in prevention of visual field loss. This procedure should be considered for patients in whom long-term pressure control at a lower level would be beneficial in preventing further optic nerve damage.</div></front></TEI><affiliations><list><country><li>Niger</li><li>États-Unis</li></country><region><li>Missouri (État)</li></region><orgName><li>École de médecine (Université Washington de Saint-Louis)</li></orgName></list><tree><country name="Niger"><noRegion><name sortKey="Bobrow, James C" sort="Bobrow, James C" uniqKey="Bobrow J" first="James C" last="Bobrow">James C. Bobrow</name></noRegion></country><country name="États-Unis"><region name="Missouri (État)"><name sortKey="Bobrow, James C" sort="Bobrow, James C" uniqKey="Bobrow J" first="James C" last="Bobrow">James C. Bobrow</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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