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NR 4-6/2005
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Jednoczasowa
operacja zaćmy i jaskry. Wybór miejsca trabekulektomii
Simultaneous cataract and
glaucoma surgery. Trabeculectomy site selection
Tadeusz Januszewski, Mariola
Nowakowska-Maziarz, Dariusz Kliszczewski
Z Klinicznego Oddziału Okulistycznego 5. Wojskowego Szpitala
Klinicznego w Krakowie
Kierownik: ppłk dr n. med. Tadeusz Januszewski |
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| Summary: |
Purpose: Analysis
of the results of simultaneous surgery using
phacotrabeculectomy technique and standard
phacoemulsyfication and trabeculectomy from two separate
incisions.
Material and methods: Analyzed group included 41
patients /44 eyes/, aged 68 ±18 years with combined
glaucoma and cataract. In 28 operated eyeballs
phacotrabeculectomy from single incision was performed
and in 19 operated eyeballs phacotrabeculectomy and
phacoemulsification from two separate incisions was used.
Results: In both analyzed groups authors obtained
reduction in intraocular pressure and transparent
optical system. In group of patients operated on from
two separate incisions three times more often anterior
chamber had become shallower with conjoined choroidal
detachment and two times more often hypotension below 10
mmHg and breakdown of blood - aqueous fluid barrier were
observed. Blood in anterior chamber was observed in 1/5
of operated patients with equal frequency in both
analyzed groups. In addition in three months follow-up
patients from two separate incisions presented more
elevated intraocular pressure and more often required
additional pharmacological therapy.
Conclusions: Simultaneous cataract and glaucoma
surgery effectively reduces elevated intraocular
pressure and improves transparency of optical system.
Phacotrabeculectomy is safer and gives fewer
complications than standard operation from two separate
incisions. |
| Słowa kluczowe: |
fakotrabekulektomia,
fakoemulsyfikacja, trabekulektomia, zaćma, jaskra |
| Key words: |
phacotrabeculectomy,
phacoemulsification, trabeculectomy, cataract, glaucoma. |
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