Foldable acrylic versus rigid polymethylmethacrylate intraocular lens in combined phacoemulsification and trabeculectomy

Long-Term Intraocular Pressure Control of Trabeculectomy and Triple Procedure in Primary Open Angle Glaucoma and Chronic Primary Angle Closure Glaucoma

“…This study shows that the 15-year qualified success rates of trabeculectomy in Asians are no different from those reported among Caucasians [22, 23] and better than those reported in Japanese by Sihota et al [10]. Our results of triple procedure – cataract extraction by phacoemulsification, intraocular lens implantation and trabeculectomy – are comparable to previous series of combined or 2-stage surgeries [15,16,17,18,19,24,25,26,27,28]. …”

“…Antifibrotic agents such as mitomycin C (MMC) have been used in conjunction with both trabeculectomy and triple procedure for wound healing modulation since the early 1980s [11,12,13,14]. For patients with coexisting glaucoma and visually significant cataracts, a triple procedure – cataract extraction by phacoemulsification, intraocular lens implantation and trabeculectomy – is an effective approach [15,16,17,18,19]. …”

“…Several studies have shown trabeculectomy and triple procedure to be effective in short- and long-term control of intraocular pressure (IOP) [1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19], yet few reports appear in the literature regarding the long-term outcome of the triple procedure or comparisons of long-term results between trabeculectomy and triple procedure.…”

Intraocular lens choices for patients with glaucoma

“…A study that compared PMMA lenses to silicone for phacotrabeculectomy showed increased inflammation in the silicone IOL group [135]. Another study revealed an early nonsustained increase in intraocular pressure (IOP) with acrylic lenses compared with silicone lenses after phacotrabeculectomy [136], whereas another study found no difference in postoperative IOP when comparing acrylic to PMMA lenses in phacotrabeculectomy [137].…”