1. Nikola Mastilović,
Republic of Srpska, Bosnia and Herzegovina
Purpose: Cataract and glaucoma are the leading preventable causes of blindness worldwide, including 48% and 12% of all cases. Over the last years techniques for cataract surgery have improved significantly with increased patient requests and expectations. There is no general consensus and exact guidelines for surgical management of cataract in patients with glaucoma. Combined operation of cataract and glaucoma although very practical has many potential complications. We report a case of combined cataract and glaucoma operation and present modern approach to combined glaucoma and cataract surgery with special emphasis on literature review presenting possible advantages of combined cataract and glaucoma operations in patients with cataract and glaucoma. Material and methods: Case report and video presentation. 46-year-old woman presented at Poliklinika Doboj-Jug, with dense cataract and uncontrolled open angle glaucoma in the both eyes. Patient underwent combined operation of left worse eye, with phacoemulsification and trabeculectomy without any complications. Postoperative follow-up was 3 months. Results: Best corrected visual acuity (BCVA) in left eye improved from 0,08 to 0,5. Intraocular tension (IOT) reduced from 25,8mmHg with medicamentous therapy to 15,6mmHg with no any additional therapy and maintained stabile during follow ups. There was no visual field before operation due to dense cataract and later examination demonstrated significant visual field changes due to long history of decompensated glaucoma. Conclusions: Phacoemulsification with trabeculectomy can be used as combined operation and can significantly improve visual functioning in patients with significant cataract and mild to severe glaucoma impairment. Combined cataract extraction and glaucoma surgery should be carefully selected and adapted to every case, depending on its clinical findings.
Ključne reči :
Tematska oblast:
Uvodni rad:
Da
Datum:
30.03.2012.
Br. otvaranja:
767
