Trabeculectomy and intraocular lens implantation: a combined procedure

J Cataract Refract Surg. 1987 Jan;13(1):39-42. doi: 10.1016/s0886-3350(87)80008-1.


We present the results achieved in 26 cases of trabeculectomy combined with intraocular lens implantation after extracapsular surgery in eyes with open-angle glaucoma. Phacoemulsification was performed in nine cases, planned extracapsular cataract extraction in 17. In 23 eyes, a posterior chamber lens was implanted; in three eyes an anterior chamber lens was used because of a ruptured posterior capsule. After a follow-up period ranging from four to 29 months, the postoperative results were satisfactory in all eyes treated. The patients achieved postoperative intraocular pressure of 20 mm Hg or less. In 28% of the cases, however, additional antiglaucomatous medication is required. Given proper indications and present-day surgical techniques, this combined procedure provides effective one-time treatment for cataract and glaucoma patients as well as optimal visual rehabilitation.

MeSH terms

  • Aged
  • Cataract / complications
  • Cataract / physiopathology
  • Glaucoma / complications
  • Glaucoma / physiopathology
  • Glaucoma / surgery
  • Humans
  • Intraocular Pressure
  • Lenses, Intraocular*
  • Trabecular Meshwork / surgery*
  • Visual Acuity