Authors
khodzhaev N.S., Sorokoletov G.V., Kolysheva O.S., Taevere M.R.
S.N. Fedorov NMRC “MNTK “Eye Microsurgery”, Moscow
Abstract
Objective. To evaluate the efficacy and safety of a combined surgical approach in patients with primary open-angle glaucoma and cataract complicated by grade I–II lens subluxation in the setting of pseudoexfoliation syndrome.
Materials and methods. The study included 40 patients (40 eyes) with POAG stages II–III, cataract, and grade I–II lens subluxation associated with PEX. All patients underwent simultaneous combined surgery: phacoemulsification with IOL implantation using the optic capture technique and non-penetrating deep sclerectomy with implantation of a Healaflow collagen drain.
Results. At 12 months after surgery, a significant improvement in uncorrected visual acuity (UCVA) was observed: from 0.12±0.04 to 0.38±0.06 in stage II glaucoma and from 0.04±0.02 to 0.40±0.08 in stage III glaucoma (p<0.001). Intraocular pressure (IOP) decreased to 16.4±2.1 mmHg and 17.0±1.9 mmHg, respectively (p<0.001). Antihypertensive therapy was discontinued in 85% of patients with stage II and 80% with stage III glaucoma.
Conclusion. Combined surgical treatment demonstrated high efficacy and safety in patients with this complex ocular pathology.
Keywords: cataract; glaucoma; lens subluxation; pseudoexfoliation syndrome; combined surgery; non-penetrating deep sclerectomy.
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