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NR. 3(II)/2004
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Porównanie przebiegu
leczenia oraz wyników fakoemusyfikacji zaćmy u chorych z wysoką
krótkowzrocznością wykonanych w warunkach szpitalnych i
ambulatoryjnie
Comparison of course and results of in-patient and out-patient
cataract phacoemulsification in high myopia
Andrzej Mierzejewski1,3,
Iwona Eliks3, Bartosz Harasimowicz1,
Bartłomiej J. Kałużny2, Jakub J. Kałużny2,3
1Oddział Okulistyczny Szpitala Zespolonego w Kaliszu
Ordynator: dr n. med. Andrzej Mierzejewski
2Klinika Okulistyczna Akademii Medycznej w Bydgoszczy
Kierownik: prof. dr hab. med. Józef Kałużny
3NZOZ Eskulap w Bydgoszczy
Ordynator: lek. med. Iwona Eliks |
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| Summary: |
Objective: To
evaluate the influence of operation mode (in-patient or
out-patient) and treatment course on postoperative
visual acuity and complications after cataract
phacoemulsification in highly myopic eyes.
Methods: 41 patients (44 eyes) operated in
hospitals (in-patient mode) – group I and 34 patients
(48 eyes) operated in out-patient mode – group II, were
enrolled into the study. The axial length of all
operated eyes was over 25.5 mm. On a base of patients’
charts retrospective analysis OFA number and quality of
complications were evaluated. Follow-up examinations
were carried out 2 to 28 months after surgery. The
visual acuity, refractive error, anterior and posterior
segment were assessed.
Results: The differences between groups
concerning age and biometry were not significant.
Statistically significant differences in preoperative
visual acuity (0.14 – group I and 0.28 – group II) and
grade of nuclear hardness (2.27 – group I and 1.96 –
group II) were observed. The postoperative visual acuity
was similar in both groups (0.83 and 0.77, respectively).
The difference concerning ratio of posterior capsule
opacification and YAG capsulotomy was significant (in
group I – 7 and 0, in group II – 18 and 5, respectively).
Retinal detachment appeared in 1 eye from group I.
Conclusions: The operation mode (in-patient or
out-patient) and postoperative treatment have no
significant influence on final result of the
phacoemulsification in myopic eyes. |
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| Key words: |
phacoemulsification,
myopia, results. |
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