1. Tomislav Mladenović, Vojna bolnica Niš, Bahamas
Aim of study: Complicated cataract develops as a resultat of some other primary ocular disease. The most commonly causes of complicated cataracts are: chrocnic anterior uveitis, acute congestive closed-angle glaucoma, nuclear cataract in patients with pseudoexfoliation syndrome (PEX) that is followed by instability zonules and high (pathological) myopia. The aim of investigation is to examine the use of phacoemulsification in patients with compliacted cataract in achieving good recovery of vision and a small number of inraoperative complications.
Material and methods: In retrospective study were included 100 surgically treated eyes with complicated cataract and 100 eyes without PEX and myopia (control group) in Department of Ophtalmology Military Hospital from 2006 to 2011. The operation was performed after administration PBB, through the corneal incision of 3 mm, using viscoelastic and doing anterior CCC.
Results: Demographic analysis shows that the average age of patients with complicated cataract was 74 years old, while the contol group was slighty younger (average age 70 years old). The average value of intraocular pressure was higher about 3 mm Hg in patients with PEX. The average length of myopic eyes was 28.59 mm and in the control group it was 23.08 mm. Pharmacological mydriasis was significantly worse in eyes with PEX. The number of surgical intraoperative complications were not statistically different between the PEX and control groups, except for incomplete CCC, which was higher in PEX group.
Conclusion: With proper preoperative preparation, phacoemulsification surgery in patients with complicated cataract (PEX and myopia) is a safe method of treatment.
Ključne reči :
Tematska oblast:
katarakta
Uvodni rad:
Da
Datum:
12.04.2012.
Br. otvaranja:
975
