Combined intracapsular cataract extraction and trabeculectomy with Severin five-loop posterior chamber intraocular lens.

The efficacy and safety of a combined operation for cataract and glaucoma is established. This procedure of combined cataract extraction and trabeculectomy is taken one step further by the simultaneous insertion of the Severin intraocular posterior chamber lens implant. The results of treating 24 eyes in terms of control of glaucoma are discussed. Postoperative miotics may be required to improve stability of the implant, especially after delivery of the lens through a pupil rendered tight by long term preoperative miotic administration.