Influence of cataract phacoemulsification on eye hydrodynamics in patients with prior trabeculectomy

Sé, Avetisov; Еричев, В. П.; Petrov, S. Yu.; Волжанин, А. В.

doi:10.17116/oftalma201813405199

Cited by 2 publications

(1 citation statement)

References 38 publications

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“…According to some cataract extraction alone lowers intraocular pressure. 2 However, nearly all eyes with combined intraocular pressure elevation and cataract will require standard medical treatment for glaucoma within the three to six months after cataract extraction. 3 If surgical intervention for glaucoma is done first, the procedure may hasten the progression of the cataract.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of trabeculectomy and manual small incision cataract surgery with posterior chamber intraocular lens implantation

Rita¹,

Babi²,

Nath³

2019

International Journal of Health Research and Medico Legal Practice

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Introduction: Glaucoma co-existing with cataract is frequently encountered in the practice of ophthalmology. The proposed study aims to evaluate the results of Trabeculectomy and manual small incision cataract surgery with posterior chamber intraocular lens implantation (Triple procedure) in cataract with glaucomatous eyes on intraocular pressure control, and visual outcome. Materials and methods: The study was conducted on 30 cases admitted in Regional Institute of Ophthalmology, Gauhati Medical College. Cataract cases co-existing with primary open angle glaucoma previously receiving maximally tolerated medication ,but with poor control; chronic angle closure glaucoma; intraocular pressure above 22mm of Hg and a visually significant cataract; lens induced glaucoma with field defect in the other eye; pigmentary glaucoma were only included for the study. A thorough ocular examination with slit lamp, tonometry, gonioscopy, ophthalmoscopy, field charting and operative procedure with pre-operative and post-operative care was performed after taking informed consent. Results: The mean age of the patients were 55.5 years. Thirty eyes of 30 patients underwent trabeculectomy and SICS with PCIOL. The follow ups were 6 weeks and 6 months. There is a significant decrease of intraocular pressure both in first and second post-operative checkup (P<.05). However, there is no significant difference of intraocular pressure between first and second post-operative checkup (P>.05). In present study it was found that visual acuity was improved after the surgical procedure in both first and second post-operative checkup as 86.67% and 84.21% respectively. Discussion: Triple procedure (Trabeculectomy and manual small incision cataract surgery with posterior chamber intraocular lens implantation) offers better visual rehabilitation, avoids multiple surgeries, economically more feasible and controls intraocular pressure adequately. Conclusion: There is significant control of IOP and

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Section: Introductionmentioning

confidence: 99%

Efficacy of trabeculectomy and manual small incision cataract surgery with posterior chamber intraocular lens implantation

Rita¹,

Babi²,

Nath³

2019

International Journal of Health Research and Medico Legal Practice

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Influence of Phacoemulsification on Intraocular Pressure in Patients with Glaucoma

Voronin,

Bersunkaev,

Volzhanin

2023

Oftalʹmologiâ

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Phacoemulsification (PE) is a current ‘gold standard’ of the surgical treatment of the cataract. Apart from lens extraction and intraocular lens implantation, PE is accompanied by IOP changes in most cases. In cases of ophthalmic hypertension or primary open-angle glaucoma, IOP is most often decreased; however, the mechanism of this phenomenon is currently completely unknown. In closed-angle glaucoma, PE provides opening of the anterior chamber angle, which restores physiological outflow of intraocular fluid and leads to IOP stabilization. In some cases, however, PE may be accompanied by a short-term increase in IOP. The exact mechanism of this reaction is unknown, however, in most cases it is associated with the inflammatory response of the eye to surgical trauma.

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Influence of cataract phacoemulsification on eye hydrodynamics in patients with prior trabeculectomy

Cited by 2 publications

References 38 publications

Efficacy of trabeculectomy and manual small incision cataract surgery with posterior chamber intraocular lens implantation

Efficacy of trabeculectomy and manual small incision cataract surgery with posterior chamber intraocular lens implantation

Influence of Phacoemulsification on Intraocular Pressure in Patients with Glaucoma

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