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NR 1-2/2004
SUPLEMENT
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Fakoemulsyfikacja
podwichniętych zmętniałych soczewek u chorych z jaskr±
pseudoeksfoliacyjn± z zastosowaniem pier¶cienia dotorebkowego i
retraktorów tęczówkowych
Phacoemulsification of
subluxated opacified lens in pseudoexfoliation glaucoma patients,
performed with the use of a capsular tension ring and iris
retractors
Bogumiła Wójcik-Niklewska, Katarzyna
Michalska-Małecka,
Joanna Markowska, Witold Korzekwa, Wanda Romaniuk
Z Katedry i Oddziału Klinicznego Chorób Oczu ¦l±skiej Akademii
Medycznej
Wojewódzki Szpital Specjalistyczny nr 5 im. ¶w. Barbary w
Sosnowcu
Kierownik: prof. dr hab. n. med. Wanda Romaniuk |
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| Summary: |
Purpose: To
evaluate results of phacoemulsification of subluxated
lens in patients suffering from
pseudoexfoliation-related cataract and glaucoma,
performed with the use of an capsular tension ring (CTR)
and iris retractors and implantation of artificial
intracapsular lens.
Patients and methods: The retrospective covered
15 patients (15 eyes) at the average age of 75 years,
with a subluxated, cloudy lens and pseudoexfoliation
glaucoma with IV ° PEX. Due to poor mydriasis resulting
from the course of the pseudoexfoliation syndrome, it
was necessary with all the patients to apply iris
retractors in order to enlarge the pupil. The opacified
lens were removed by means of phacoemulsification. In
order to provide additional peripheral support and to
maintain the articificial lens in the central position
after the surgery, a tension ring was implanted into the
lenticular capsule. A foldable intraocular lens was
implanted inside the capsule.
Results: The observation period was 12 months.
The average visual acuity prior the surgery was
0,18±0,2, while after a year after the surgery it was
0,56±0,32 (p<0,001). Besides, the intraocular pressure
was observed to decrease from 18,2±5,02 mm Hg before the
surgery to 15,8±0,84 mmHg (p<0,001) after the surgery.
The anti-glaucoma medication ratio was also reduced from
2,1 to 1,3 in the post-surgery period. Inflammatory
reaction of the anterior chamber was observed in 7 eyes.
Conclusions: Application of a CTR and iris
retractors during a surgery of cataract in patients with
subluxated opacified lens considerably facilitates the
implantation procedure of an artificial lens into the
capsule, and it allows to improve the visual acuity and
stabilize the intraocular pressure while reducing the
quantity of the applied anti-glaucoma drugs. |
| Słowa kluczowe: |
fakoemulsyfikacja,
pier¶cień dotorebkowy, retraktory, jaskra
pseudoeksfoliacyjna. |
| Key words: |
phacoemulsification,
capsular tension ring, retractors, psudoexfoliation
glaucoma. |
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