Combined trabeculectomy and phacoemulsification: a one-site vs a two-site approach.

Purpose: To compare the results of combined trabeculectomy and phacoemulsification surgery with intraocular lens implant by means of a one-site vs a two-site approach.

Methods: Glaucomatous patients with a coexisting cataract were randomly assigned to undergo either a one-site or two-site combined procedure. One-site surgery was performed with a limbus-based conjunctival flap and scleral tunnel at the 12-o'clock position.

Simultaneous angle closure in twins.

Purpose: This article reports identical twin sisters who were found to have acute angle-closure glaucoma at the same time.

Methods: Two case reports.

Results: Two 73-year-old identical twin sisters presented to the emergency room with a complaint of decreased vision and eye pain after having been in a fist fight with each other the previous night.

Topical carbonic anhydrase inhibitors.

Dorzolamide, a topically active carbonic anhydrase inhibitor, is an effective new glaucoma medication that creates a decrease in intraocular pressure similar to that produced by beta-blockers. When beta-blockers are contraindicated, dorzolamide may be used as a first-line therapy. It has excellent additivity with other topical ocular hypotensive medications, including beta-blockers and pilocarpine.