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  • Title: The efficacy and safety of combined trabeculectomy, cataract extraction, and intraocular lens implantation.
    Author: McCartney DL, Memmen JE, Stark WJ, Quigley HA, Maumenee AE, Gottsch JD, Bernitsky DA, Wong SK.
    Journal: Ophthalmology; 1988 Jun; 95(6):754-63. PubMed ID: 3211476.
    Abstract:
    The safety and efficacy of combined trabeculectomy, extracapsular cataract extraction (ECCE), and posterior chamber intraocular lens (PC IOL) implantation were evaluated by retrospectively analyzing 108 consecutive operations. Postoperatively, 89% of eyes achieved 20/40 or better visual acuity when preoperative macular and optic nerve diseases were excluded. Mean follow-up was 16.8 months. Intraocular pressure (IOP) control (less than or equal to 21 mmHg) was achieved in 92% of eyes; 57% required no medications. Capsulotomy (20%) and transient hyphema (15%) occurred significantly more often (P less than 0.001) than in a comparison group. These results suggest that the combined procedure gives excellent visual rehabilitation and IOP control in the majority of patients included in this analysis.
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