[Extracapsular cataract extraction with intraocular lens implantation after glaucoma surgery].
OBJECTIVE
To analyse results of cataract surgery with intraocular lens implantation in eyes with previous glaucoma surgery.


METHODS
In the years 1994-1996 in 44 eyes of 39 patients (13 males and 26 females) cataract surgery was performed. The follow-up ranged from 3 to 12 months (mean 8.5 months). The time interval between glaucoma surgery and cataract surgery ranged from 1 month to 40 years. The most frequent kind of glaucoma surgery was trabeculectomy (77.3%). An inverse corneal incision and envelope capsulotomy was performed in every eye, thirty eight percent required synechiolysis and twenty percent iridoplastic surgery.


RESULTS
Intraoperatively there were 2 cases of posterior capsule tears with vitreous loss and 4 mild hemorrhages into anterior chamber. The most common postoperative complications were Descemet's membrane folds (36.4%), fibrinous exudate in anterior chamber (27.3%) and transient corneal oedema (9.2%). Fifty percent of eyes achieved the best corrected visual acuity-5/8 and better. Postoperative astigmatism mostly with the rule was observed in 86.4% eyes. Postoperative intraocular pressure was unchanged in 81.8% eyes, and in 13.8 percent of eyes preoperative glaucoma medication was no longer required.


CONCLUSIONS
The technique of extracapsular cataract extraction with intraocular lens implantation is a safe procedure giving good visual rehabilitation and having no influence on glaucoma control in patients who had previous glaucoma surgery.
Synder
A
A
Katedry i Kliniki Chorób Oczu AM w Lodzi.
Kowalski
M
M
Omulecki
W
W
Bogorodzki
B
B
D000368:Aged; D000369:Aged, 80 and over; D001251:Astigmatism / Q000453:epidemiology / Q000209:etiology; D002386:Cataract / Q000209:etiology; D002387:Cataract Extraction / Q000009:adverse effects; D015715:Corneal Edema / Q000209:etiology; D003886:Descemet Membrane / Q000293:injuries; D005260:Female; D005500:Follow-Up Studies; D005901:Glaucoma / Q000150:complications* / Q000601:surgery; D006801:Humans; D015994:Incidence; D019654:Lens Implantation, Intraocular / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D016896:Treatment Outcome; D014792:Visual Acuity