NR 2/2002
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Jednoczesne usunięcie zaćmy
obu oczu z wszczepieniem
soczewek tylnokomorowych
Simultaneous bilateral cataract surgery with pc iol
implantation
Aleksandra Synder, Wojciech Omulecki
Z Katedry i Kliniki Chorób Oczu Akademii Medycznej w Łodzi
Kierownik: dr. hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: To evaluate results of
simultaneous bilateral extracapsular cataract extraction with PC IOL implantation and to
discuss indications for such treatment.
Material and methods: Simultaneous bilateral cataract surgery was
performed in 3 patients: 56-year-old woman with Little`s syndrom, 75-year-old woman with
Parkinson`s disease and 29-year-old mentally handicapped man. All patients required
general anesthesia because of the general state of health.
All patients were treated topically with broad-spectrum antibiotic drops before the
surgery. Simultaneous bilateral surgery was performed as two separate operations. After
successful completion of surgery of the first eye, the gloves, drapes and gowns were
changed and the new set of instruments and irrigation solution was used.
Results: The visual acuity improved in all eyes after surgery, and it was
6/6 in both eyes in patients 1 and 3, whereas it was 6/8 and 6/60 in patient 2, due to
glaucomatous optic nerve atrophy. There were no intra- or postoperative complications.
Conclusions: Simultaneous bilateral cataract surgery is a safe procedure
if all special conditions are fulfilled. It is specially indicated in patients requiring
general anesthesia. Patients are not at risk of the second general anesthesia and achieve
earlier visual binocular rehabilitation.
Extracapsular cataract extraction with PC IOL implantation was performed in all eyes. The
excision of fibrotic anterior lens capsule was necessary before the aspiration of cortical
material in 2 eyes with congenital cataracts. The corneal incision and plastic surgery of
the iris was done in the eye, which had undergone iridencleisis. In the other eye of the
same woman cutting and suturing of the iris was performed because of posterior synechiae
and very narrow pupil. |
| Słowa kluczowe: |
operacje zaćmy, jednoczesne, obustronne. |
| Key words: |
cataract surgery, simultaneous, bilateral. |
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