Long-term results of combined surgery in patients with cataract and glaucoma

Abstract

Aim. To evaluate the efficacy and safety of femtolaser-assisted phacoemulsification in combination of cataract and glaucoma in combination with NPDS in long-term follow-up.
 Materials and methods. A retrospective analysis of the results of the surgical treatment of patients with combined pathology of cataract and glaucoma was carried out. The groups of patients differed according to the method of surgical intervention: 1) phacoemulsification with NPDS and implantation of the Xenoplast drainage (49 eyes, 43 patients); 2) femtolaser-assisted phacoemulsification with NPDS and Xenoplast drainage implantation (27 eyes, 23 patients).
 Results. Before surgery, the average values ​​of corneal-compensated intraocular pressure (IOP cc), pressure equated to Goldman pressure (IOP g) and corneal hysteresis (CH) in group 1 were 27.99.9 mm Hg. Art., 27.78.9 mm Hg. Art., 7.03.0 mm Hg. Art.; in group 2 - 25.98.4 mm Hg. Art., 24.77.7 mm Hg, 7.72.1 mm Hg Art. 5 years after the surgical treatment, the average values ​​of IOP cc, IOP g and CH of the 1st group were 17.13.8 mm Hg. Art., 14.52.8 mm Hg. Art., 8.52.6 mm Hg. Art.; 2nd group - 15.13.3 mm Hg. Art., 15.34.7 mm Hg, 8.31.0 mm Hg Art. In both groups, normalization of IOP and CH was noted in the late postoperative period.
 Conclusion. Combined phacoemulsification with femtolaser accompaniment and non NPDS with Xenoplast drainage implantation is an effective and safe way to improve visual functions and normalize IOP with subsequent stabilization of the glaucoma process in the late postoperative period.