Extracapsular Cataract Extraction and Posterior Chamber Intraocular Lens Implantation in Glaucomatous Eyes
- 1 November 1985
- journal article
- case report
- Published by Elsevier BV in Ophthalmology
- Vol. 92 (11), 1506-1516
- https://doi.org/10.1016/s0161-6420(85)33828-9
Abstract
Two hundred ninety-six eyes of 250 patients undergoing extracapsular cataract extraction (ECCE) with or without the implantation of a posterior chamber intraocular lens (PC-IOL) were studied. Pre-existing glaucoma of varying severity was present in 139 eyes and no known ocular pathology other than cataract in 157 eyes. During the first eight weeks following surgery, intraocular pressure elevations greater than or equal to 15 mmHg above baseline were seen in 23% of glaucomatous eyes controlled before surgery with glaucoma medications, in 39% of glaucomatous eyes controlled before surgery with argon laser trabeculoplasty, and in only 3% of nonglaucomatous eyes. The implantation of a PC-IOL did not influence the incidence of postoperative intraocular pressure (IOP) elevations. Among glaucomatous eyes with severe preoperative visual field loss (split fixation or central island less than or equal to 10 degrees), 9.7% had worsening of visual field after surgery. Open angle glaucoma of unclear etiology developed in 1.4% of normal eyes following uncomplicated ECCE with PC-IOL implantation. Surgical techniques the authors have found useful in glaucomatous eyes undergoing ECCE with PC-IOL implantation are discussed.Keywords
This publication has 20 references indexed in Scilit:
- Complications of intraocular lenses. A historical and histopathological reviewSurvey of Ophthalmology, 1984
- The FDA Report on Intraocular LensesOphthalmology, 1983
- A Histopathologic Study of the Position of the Shearing Intraocular Lens in the Posterior ChamberAmerican Journal of Ophthalmology, 1981
- Management of Anterior Segment Complications of Intraocular LensesOphthalmology, 1980
- Complications Associated with Posterior Chamber LensesOphthalmology, 1979
- Argon Laser Therapy for Open-Angle GlaucomaAmerican Journal of Ophthalmology, 1979
- Intracapsular Versus Extracapsular Cataract Extraction for Intraocular Lens ImplantationInternational Ophthalmology Clinics, 1979
- Effect of the Intraocular Lens on Intraocular PressureAmerican Journal of Ophthalmology, 1976
- Postoperative Cataract in Successfully Filtering Glaucomatous EyesAmerican Journal of Ophthalmology, 1970
- Comparison of Cataract Incidence in Normal and Glaucomatous PopulationAmerican Journal of Ophthalmology, 1970