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Analysis of combined glaucoma and cataract operations with intraocular lens implantation: a study based on own material
Authors:Sempińska-Szewczyk J  Bluj I
Institution:Oddzia?u Okulistycznego Szpitala Wojewódzkiego im. Jana Paw?a II w Be?chatowie.
Abstract:PURPOSE: To analyse results and complications of glaucoma and cataract surgery with IOL implantation. MATERIAL AND METHODS: 28 patients (32 eyes) underwent glaucoma and cataract surgery with IOL implantation during the period of January 1998-December 1999. The follow up time ranged from 6 to 30 months. RESULTS: Postoperative visual acuity was 5/12-5/5 in 78.13% of cases. Intraoperatively there were 4 patients of posterior capsule tears with vitreous loss. The most common postoperative complications were Descemet's membrane folds (28.13%), corneal oedema (21.87%) and increased intraocular pressure (18.75%), but they were only transitory. Finally postoperative intraocular pressure was good in 93.76%. In 2 cases glaucoma medication was longer required. Delayed follow-up showed that visual field deteriorated before surgery had not worsened. CONCLUSIONS: Combined, simultaneous operation of glaucoma and cataract does not seem to give rise to more complications than both procedures performed separately. The procedure is safe and gives good visual rehabilitation.
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