Author:
Jashi Benta G.,Balalin Sergey V.
Abstract
The results of 269 cases of performing of cataract phacoemulsification with IOL implantation (PHACO) and microinvasive nonpenetrating deep sclerectomy (MNPDS) at various stages have been analyzed. The main group included patients who underwent PHACO, followed by MNPDS 64 persons, 65 eyes. The group was divided into a subgroup based on the date of the second intervention. 1 subgroup patients who underwent MNPDS 1 month after PHACO (30 cases); 2 subgroup 3 months after PHACO (35 cases). The control group included patients who underwent MNPDS followed by PHACO 196 persons, 204 eyes. Patients of the main group showed a significant decrease in intraocular pressure after each stage of treatment. in the control group, intraocular pressure decreased after the first stage of treatment, but increased 6 months after surgery. In primary open-angle glaucoma associated with cataract, the most persistent hypotensive effect is observed when the first stage of cataract phacoemulsification is performed, and the second stage is antiglaucoma surgical intervention.
Publisher
Volgograd State Medical University
Subject
Anesthesiology and Pain Medicine
Reference14 articles.
1. Malyugin B.E., Shpak A.A., Morozova T.A. Cataract Surgery: Clinical and Pharmacological Approaches. Moscow, 2015. 82 с. (In Russ.).
2. Avdeeva O.N., Avetisov S.E., Akayeva N.A. et al. Ophthalmology: National guide. Moscow, 2018. 904 с. (In Russ.).
3. Hypotensive effect of cataract phacoemulsification in patients with variousstages of open angle glaucoma
4. Marble A.M., Roth B.P., Smit B.A. Cataract Surgery in High-Risk Glaucoma Patients. Do the risks outweigh the benefits? Glaucoma Today. 2015;May/June. URL: https://crstoday.com/articles/2015-oct/cataract-surgery-in-high-risk-glaucoma-patients.
5. Chen P.P. The effect of phacoemulsification on the ocular pressure in glaucoma patients: a report by the American academy of ophthalmology. Ophthalmology. 2015;122(7):1294–307.