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The literature on combined surgery in the treatment of patients with cataract and glaucoma was comprehensively studied, and all aspects and variations of the combined procedure were assessed. Phacoemulsification has improved the success rate and reduced the complication rate previously associated with extracapsular cataract extraction combined with trabeculectomy. One-site and-two-site techniques appeared to be similarly effective. Phacotrabeculectomy combined with mitomycin-c achieved a lower IOP than phacotrabeculectomy alone but has a higher complication rate. The use of 5-fluorouracil is not as effective as mitomycin-c and has a varied influence on the results. The development of new techniques that combine non-penetrating glaucoma surgery with phacoemulsification offers interesting surgical alternatives, but no long-term result has been reported. LA: Chinese
Dr. H. Yan, Department of Ophthalmology, Tangdu Hospital, Fourth Military Medical University, Xi'an 710038 Shaanxi Province, China
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)