[Phacoemulsification of subluxated opacified lens in pseudoexfoliation glaucoma patients, performed with the use of a capsular tension ring and iris retractors].
OBJECTIVE
To evaluate results of phacoemulsification of subluxated lens in patients suffering from pseudoexfoliation-related cataract and glaucoma, performed with the use of a capsular tension ring (CTR) and iris retractors and implantation of artificial intracapsular lens.


METHODS
The retrospective covered 15 patients (15 eyes) at the average age of 75 years, with a subluxated, cloudy lens and pseudoexfoliation glaucoma with IV PEX. Due to poor mydriasis resulting from the course of the pseudoexfoliation syndrome, it was necessary with all the patients to apply iris retractors in order to enlarge the pupil. The opacified lens were removed by means of phacoemulsification. In order to provide additional peripheral support and to maintain the artificial lens in the central position after the surgery, a tension ring was implanted into the lenticular capsule. A foldable intraocular lens was implanted inside the capsule.


RESULTS
The observation period was 12 months. The average visual acuity prior the surgery was 0.18+/-0.2, while after a year after the surgery it was 0.56+/-0.32 (p<0.001). Besides, the intraocular pressure was observed to decrease from 18.2+/-5.02 mm Hg before the surgery to 15.8+/-0.84 mmHg (p<0.001) after the surgery. The anti-glaucoma medication ratio was also reduced from 2.1 to 1.3 in the post-surgery period. Inflammatory reaction of the anterior chamber was observed in 7 eyes.


CONCLUSIONS
Application of a CTR and iris retractors during a surgery of cataract in patients with subluxated opacified lens considerably facilitates the implantation procedure of an artificial lens into the capsule, and it allows to improve the visual acuity and stabilize the intraocular pressure while reducing the quantity of the applied anti-glaucoma drugs.
Wójcik-Niklewska
Bogumiła
B
Oddziału Klinicznego Chorób Oczu Slaskiej Akademii Medycznej, Wojewódzki Szpital Specjalistyczny nr 5 im. św. Barbary w Sosnowcu.
Michalska-Małecka
Katarzyna
K
Markowska
Joanna
J
Korzekwa
Witold
W
Romaniuk
Wanda
W
D000368:Aged; D002386:Cataract / Q000150:complications*; D017889:Exfoliation Syndrome / Q000150:complications*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure; D007906:Lens Subluxation / Q000209:etiology* / Q000601:surgery*; D007910:Lenses, Intraocular; D008297:Male; D018918:Phacoemulsification / Q000295:instrumentation* / Q000379:methods; D011044:Poland; D012189:Retrospective Studies; D013525:Surgical Instruments