Trabeculectomy function after cataract extraction.

摘要: Abstract Objective To examine the effect of cataract extraction (CE) after trabeculectomy on intraocular pressure (IOP) control. Design Retrospective noncomparative case series. Participants A total 115 consecutive patients who underwent extracapsular CE (N = 58) or phacoemulsification 57) with lens (IOL) placement were studied. Intervention Cataract IOL was performed. Main outcome measures Preoperative, intraoperative, and postoperative factors evaluated for association loss IOP control requiring additional medications, bleb needling, further glaucoma surgery, using Kaplan-Meier survival analysis Cox multivariate proportional hazards regression. Results After mean follow-up 21.1 ± 14.3 months, medication needling filtering to maintain required in 35 eyes (30.4%) significantly associated intraoperative iris manipulation early peak greater than 25 mmHg. Additional surgery eventually 11 (9.6%) age 50 years younger, preoperative 10 mmHg, The cumulative proportion did not require reoperation 93% 90% at 1 2 years, respectively. last visit had increased 1.6 mmHg above pre-CE level vary first month. median interval from addition months (within 3 20 33 eyes) that nonsurgical intervention 3.6 (before 7th month 6 eyes). Of 19 hypotony (IOP ≤ mmHg) before CE, remained hypotonous despite an increase 4.6 7.5 Conclusions When is performed trabeculectomy, manipulation, are worsened Most failures occur soon CE. Resolution pre-existing unpredictable.