|
NR 7-9/2007
|
|
|
|
|
|
|
|
|
Fakosklerotalamotomia – nowa metoda chirurgicznego leczenia
współistniejącej zaćmy i jaskry. Istota techniki operacyjnej
Phacosclerothalamotomy – new
surgical procedure in the treatment of coexisted cataract with
glaucoma. Essence of technique surgery
Piotr Jurowski, Roman Goś
Z Kliniki Okulistyki i Rehabilitacji Wzrokowej
Uniwersytetu Medycznego w Łodzi
Kierownik: prof. dr hab. n. med. Roman Goś |
|
|
| Summary: |
Purpose: To present
some relevant stages of phacosclerothalamotomy procedure.
Material and methods: Surgery comprised: superior
clear corneal phacoemulsification with in the bag IOL
implantation combined with 4 ab interno sclerostomy with
high frequency diathermic probe. The position of the
probe was checked under gonioscopic view and microscopic
or endoillumination light. Six patients (6 eyes) were
enrolled. In 5 patients there was POAG and POCG in 1.
Results: Phacoemulsification were performed
uneventfully. During sclerothalamotomy bleeding within
trabecular meshwork and shallowing of anterior chamber
were observed. The value of IOP was lower in each case
postoperatively. Antiglaucoma medications ratio was
decreased.
Conclusions: Phacosclerothalamotomy links up some
advantages of small incision cataract surgery with
surgical bypass between anterior chamber and Schlemm’s
canal as well as deep sclerostomy (thalamotomy)
performed ab interno with diathermic probe. This
technique allows to avoid some complications of
filtration surgery. |
| Słowa kluczowe: |
operacja zaćmy,
fakoemulsyfikacja, operacja przeciwjaskrowa,
sklerotalamotomia ab interno. |
| Key words: |
cataract surgery and
glaucoma surgery, phacoemulsification,
sclerothalamotomia ab interno. |
|
|
|
|
|
|
