[MODIFIED SURGICAL TREATMENT OF PATIENTS WITH PRIMARY OPEN-ANGLE GLAUCOMA].
A combined phacoemulsification of a cataract with intraocular lens implantation (IOLI) and modified tunnel trabeculopuncture (TTP) was performed in the clinic in patients, suffering primary open-angle glaucoma. Through 3 yrs postoperatively intraocular pressure and a glaucoma compensation degree were controlled in accordance to data, obtained while investigation of optic nerve (computer perimetry, optical coherent tomography of neuronal fascicles), and also these results were compared with data from the patients, to whom a standard TTP was performed. A significant stable hypotensive effect of the operation proposed was established, as well as termination of a progressive atrophic changes of optic nerve, caused by glaucoma. Antiglaucomal reoperations after a combined phacoemulsification IOLI and modified TTP were per- formed in 6% patients (p < 0.05), after combined phacoemulsification with the IOLI and a standard TTP--in 30% (p < 0.05).
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Mel'nyk
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005902:Glaucoma, Open-Angle / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D007908:Lens, Crystalline / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009900:Optic Nerve / Q000503:physiopathology; D018918:Phacoemulsification / Q000379:methods*; D011184:Postoperative Period; D020127:Recovery of Function; D012086:Reoperation / Q000706:statistics & numerical data; D041623:Tomography, Optical Coherence; D014129:Trabecular Meshwork / Q000473:pathology / Q000601:surgery*; D014130:Trabeculectomy / Q000379:methods*; D016896:Treatment Outcome