First Author: V.Agafonova RUSSIAN FEDERATION
Co Author(s): K. Takchidi M. Frankowska Gierlak
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Purpose:
To perform a comparative analysis of microinvasive simultaneous surgical treatment (mNPDS+PhCE+IOL) of patients with cataract and open angle glaucoma using one or two surgical accesses.
Setting:
: The S. Fyodorov Eye Microsurgery Federal State Institution, Moscow, Russia
Methods:
Comparison of 90 operations: mNPDS+PhCE+IOL through single access (55 cases)(I) and mNPDS+PhCE+IOL through 2 accesses (35)(II).
Results:
Average best corrected visual acuity was one month later 0.80±0.05(I), 0.77±0.06(II)(p>0.05), 3 years 0.91±0.05, 0.88±0.07 respectively, average IOP 15.49±1.25(I), 15.40±1.29(II)(p>0.05), 14.93±1.38, 15.38±1.29 respectively.
After the surgery no resistant hypotensive effect loss was noted. One Descemetogoniopuncture (DGP) was carried out in 3 cases(I), β-blockers are prescribed in 2 cases, DGP – in one case(II), β-blockers in 2 cases. IOP 21 mmHg and less without hypotensive medicines remained 3 years laser in 94.5% of cases(I), 94.3%(II). The type of access did not influence on formation of decompensation chamber, filtering bleb and scarring postoperatively.
Intraoperative complications: 1(1.1%) sphincter abruption(I), 1(1.1%) posterior capsule rupture(II), 9(10%) cases – insignificant hemorrhages during synechotomy(I and II). Postoperative complications: corneal edemas (3.6, 2.9% of cases), exudative reaction (5.5, 5.7%), local flat choroidal detachment (1.8, 2.9%).
Conclusions:
mNPDS+PhCE+IOL is an efficient, less traumatic, safe method of treatment. Comparative analysis of mNPDS+PhCE+IOL using one and two accesses did not revealed a statistically significant difference in clinical functional results.
Financial Disclosure:
No"
