摘要:

Cataract and glaucoma are two very common conditions that frequently are coincident within the same patient. The surgical treatment of the patient with both cataract and glaucoma has changed considerably in the era of small-incision cataract surgery. Additionally, many surgeons are employing antimetabolites routinely in combined phacoemulsification and trabeculectomy. This article reviews the literature as it pertains to combined cataract and glaucoma surgery within the 1-year scanning period. This is not a comprehensive review in that many very important articles are excluded because they were published either before or after the scanning period. The important topics included within this article involve the use of mitomycin C in combined surgery, the comparison of combined phacoemulsification and combined standard extracapsular procedures, long-term results of combined cataract and glaucoma surgery, the survival of filtration blebs after cataract extraction in eyes that had previous trabeculectomy, new techniques of combined surgery including clear corneal cataract extraction combined with trabeculectomy, and the effect of phacoemulsification on intraocular pressure in patients with and without glaucoma.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The proceedings of a 2-day workshop on the role of sunlight in cataract formation have provided an opportunity to assess the importance of this widely discussed risk factor. There seems to be no role in nuclear cataract, and any role in cortical or posterior subcapsular cataract is scarcely measurable.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The treatment of an infant or child with a cataract requires a different decision process and surgical technique compared with the treatment of an adult with a cataract. The pediatric cataract literature of the past year reminds the reader that the indications for surgery and preoperative management of the pediatric cataract patient are different, that the response to surgery is different, necessitating the use of new techniques for surgery, and that complications after surgery are more common. These differences are caused by the anatomy of the pediatric eye and the susceptibility of the developing visual system to amblyopia. The literature of the past year supports with laboratory study and clinical reports the current trend toward more common use of intraocular lenses in children.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

Removal of a cataract during a vitrectomy can be performed to improve visualization for the surgeon or to facilitate visual rehabilitation for the patient. Because aphakic eyeglasses or contact lenses are often poor options to correct aphakia, placement of an intraocular lens during or after a vitrectomy is becoming increasingly common. A cataractous lens can be removed by pars plana lensectomy, phacoemulsification, or extracapsular cataract extraction. Options for intraocular lens placement include no intraocular lens, anterior chamber lens or sutured posterior capsular lens in the absence of capsular support, “in- the-bag” posterior capsular lens, or sulcus-fixated posterior capsular lens. This article reviews the current indications and techniques for cataract removal with or without intraocular lens placement in patients undergoing vitrectomy.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID

摘要:

The correction of astigmatism during cataract surgery has evolved due to recent basic and clinical studies. To control surgically induced astigmatism, the surgeon has many options, including varying incision parameters, astigmatic keratotomy, scleral flap recession and resection, toric intraocular lens implantation, and modifying postoperative medical treatment. The recent literature is reviewed, and our current approach for cataract surgery is discussed.

ISSN:1040-8738    

出版商:OVID    

年代:1996

数据来源: OVID