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PubMed · 9206728

[No-stitch phacotrabeculectomy using modified punch technique].

A Mohr
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Abstract

BACKGROUND: Combined cataract-glaucoma surgery is associated with a higher rate of intra- and postoperative undesired reactions than if each procedure is performed separately. We therefore investigated weather use of a special punch for trephination of a fistula opening in the area of the scleral tunnel could both reduce the rate of complications and improve regulations of pressure. METHOD: The modified procedure was performed in 22 patients. After phacoemulsification and implantation of a foldable lens through a 3.3 mm wide scleral tunnel, a 1.1 mm wide trephination opening was made in the lower wound flap using a specially designed punch. Without stitching the tunnel, the fistula was checked and the operation ended by suturing the limbus-based conjunctival flap. RESULTS: The rate of immediate postoperative complications was markedly reduced by that procedure. A postoperative hyphema did not occur in any patient. The incidence of fibrin exsudation was also considerably diminished. With regard to the medium-term stabilization of pressure, our method was slightly better than those reported in other studies. CONCLUSIONS: In light of the good results achieved with the modified procedure described here for the first time, a rethinking of the strict indications for this type of intervention in patients with cataract and simultaneous open-angle glaucoma is warranted.

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AgedAged, 80 and overEquipment DesignFemaleGlaucoma, Open-AngleHumansLenses, IntraocularMaleMiddle AgedPhacoemulsificationPostoperative ComplicationsPuncturesTrabeculectomyVisual AcuityEnglish AbstractJournal Article

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A Mohr. 1997. [No-stitch phacotrabeculectomy using modified punch technique].. https://doi.org/10.1055/s-2008-1035007

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