Отдаленные результаты комбинированного хирургического лечения пациентов с первичной открытоугольной глаукомой в сочетании с осложненной катарактой

Abstract

Purpose. To improve the effectiveness of surgical treatment of patients with primary open-angle glaucoma in combination with complicated cataract in the long-term period. Material and methods. A retrospective analysis of the cards of 64 patients (64 eyes) with 1-3 stage primary open-angle glaucoma (POAG) in combination with complicated cataract, who applied to the Orenburg branch of The S. Fyodorov Eye Microsurgery Federal State Institution and underwent combined surgical treatment in the form of microinvasive non-penetrating deep sclerectomy with simultaneous implementation of cataract phacoemulsification. We analyzed the results of combined surgical treatment of this group of patients 1, 6 and 12 months after surgery. Results. The obtained results indicate the stabilization of intraocular pressure in 60.9% of cases. However, in 26.5% of cases in patients with POAG of stage 3, it was necessary to prescribe a combination of antiglaucoma drugs. The total field of view in these patients remained unchanged, however, according to OCT-angio and computed perimetry, they had a negative trend. Conclusion. Combined surgical treatment of microinvasive non-penetrating deep sclerectomy with simultaneous implementation of cataract phacoemulsification followed by implantation of a posterior chamber IOL is an effective method of treating patients with glaucoma and cataract, while both the hypotensive and optical effect persists one year after the operation. Key words: open-angle glaucoma, cataract, dry eye syndrome, unstabilized glaucoma.