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  • Title: [Incision procedure in cataract extraction after filtering glaucoma operations].
    Author: Küchle HJ, Meyer-Rüsenberg G, Meyer-Rüsenberg HW.
    Journal: Klin Monbl Augenheilkd; 1983 Apr; 182(4):277-80. PubMed ID: 6865249.
    Abstract:
    The authors report on 72 cataract extractions following filtering procedures for glaucoma. In 45 cases they performed a purely corneal incision in the upper part of the globe (in 17 cases the classical von Graefe knife incision was used; in 28 cases a three-plane incision ab externo using a razor blade and scissors was done). In the other 27 cases the globe was opened from the outer surface by performing a corneoscleral incision with a limbus-based conjunctival flap. With regard to postoperative intraocular pressure and intraoperative and postoperative complications the two techniques - the ab interno incision and the ab externo incision - produced equally good results. Moreover, a slightly higher residual astigmatism was observed after the purely corneal incisions. The advantages and disadvantages of the two techniques for opening the globe following a filtering procedure for glaucoma are discussed. Finally the authors describe the procedure they currently use, depending on the preoperative situs.
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