Late clear corneal wound failure after trivial trauma.

A clear corneal cataract wound ruptured after trivial trauma. The wound did not meet the criteria for wound stability as previously recommended. This case illustrates the potential public health hazard with the increasing use of clear corneal cataract surgery.

Timolol hemihydrate vs timolol maleate to treat ocular hypertension and open-angle glaucoma.

Purpose: We compared the therapeutic efficacy and safety of timolol hemihydrate to timolol maleate in patients with ocular hypertension and chronic open-angle glaucoma.

Methods: We conducted this three-month study as a multicentered, masked, parallel group comparison. Both the 0.

5-FU-supplemented phacoemulsification, posterior chamber intraocular lens implantation, and trabeculectomy.

I reviewed the charts of 129 consecutive patients: 38 of whom underwent 5-fluorouracil (5-FU)-supplemented, combined phacoemulsification, posterior chamber lens implantation, and trabeculectomy (phaco/5-FU group); 55 of whom underwent the same combined procedure without 5-FU (phaco group); and 36 of whom underwent a similar combined procedure in which extracapsular cataract surgery was performed instead of phacoemulsification, again without 5-FU (ECCE group). I evaluated and compared the surgical results in these three groups at several points, up to and including 1 year postoperatively, in terms of intraocular pressure (IOP), number of antiglaucoma medications being used, presence or absence of a visible filtering bleb, visual field, anterior chamber cell and flare, visual acuity, postoperative induced astigmatism, and incidence of cystoid macular edema. At 3 months and beyond, there were more blebs in the phaco/5-FU group than in the phaco or ECCE groups.

Combined surgery for cataract and glaucoma.

The current literature and meeting abstracts regarding combined cataract and glaucoma surgery are reviewed. Potential acuity measurements are compared. Intraoperative manipulation of the pupil, wound size, antimetabolites, and types of filtration surgery are also discussed.