ABSTRACT
We describe a combined cataract/glaucoma procedure for patients on chronic miotics that includes small-incision phacoemulsification to provide increased predictability of visual outcome and early visual rehabilitation, and an inferior pupilloplasty to facilitate intraoperative visualization. To date, 42 procedures have been performed with excellent results. Complications, although minimal, have included iridolenticular/iridocapsular adhesions, diplopia, rupture of 10-0 polypropylene sutures, peripheral anterior synechia, hyphema, and fibrinoid aqueous.
Subject(s)
Cataract Extraction/methods , Glaucoma, Open-Angle/surgery , Miotics/therapeutic use , Glaucoma, Open-Angle/drug therapy , Humans , Iris/surgery , Lenses, Intraocular , Polypropylenes , Postoperative Complications , Pupil/drug effects , Suture Techniques , Sutures , Trabeculectomy/methodsABSTRACT
One hundred patients having elective cataract surgery were evaluated in a prospective, randomized, double-blinded study comparing retrobulbar and peribulbar anesthesia. Patients were divided into two study groups and evaluated on three criteria felt to be critical to intraocular surgery. Results showed that the efficacy of the one-injection-site peribulbar block was similar to that of the retrobulbar block for all three criteria. Because the one-injection-site anesthetic is administered outside the muscle cone, the potential for optic nerve and central nervous system complications should be minimized.
