[One-stage extracapsular cataract extraction with sinusotrabeculotomy in patients with combined glaucoma and cataract].
The paper deals with the question about surgical treatment of patients with glaucoma associated with cataract. A new technique of one-stage extracapsular cataract extraction with sinusotrabeculotomy is proposed. Its main point is a change in the sequence of stages: stage I--opening of anterior lens capsule, stage II--antiglaucomatous operation, stage III--extraction of lenticular nucleus and masses through a corneal incision. The operation was made in 30 patients (31 ages). The follow-up period was 2 years. Normalization of intraocular pressure was achieved in all patients, in one eye--miotics had to be used. All patients showed a rise of visual functions: in 21 of 31 eyes vision rose to 0.3 and higher. In one patient vision fell after a year because of progression of the glaucomatous process in the presence of normal intraocular pressure. One-stage extracapsular cataract extraction with sinusotrabeculotomy can be made at any stage of glaucoma. By the authors' data, contraindications can be a rise of intraocular pressure above 40.0 mm Hg as well as the presence of a single eye and severe course of hypertonic disease.
Kashintseva
L T
LT
Salenko
S V
SV
D002387:Cataract Extraction / Q000379:methods*; D005902:Glaucoma, Open-Angle / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D011184:Postoperative Period; D014130:Trabeculectomy / Q000379:methods*; D014792:Visual Acuity; D014794:Visual Fields
Odnomomentnaia ékstrakapsuliarnaia ékstraktsiia katarakty s sinusotrabekulotomieĭ u bol'nykh glaukomoĭ, sochetaiushcheĭsia s kataraktoĭ.