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[The results of fistulizing glaucoma surgeries in pseudophackic patients].

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[Combination treatment for cataract and glaucoma].

M A Frolov1, A M Frolov2, K A Kazakova1

  • 1Peoples' Friendship University of Russia, Department of Ophthalmology, 15 Bakinskaya St. Moscow, Russia, 115516.

Vestnik Oftalmologii
|October 6, 2017
PubMed
Summary

This study combined cataract surgery with a novel glaucoma drainage technique, achieving stable intraocular pressure reduction and improved vision in most patients. The autoscleral flap method proved effective without donor materials.

Keywords:
autosceral flapglaucomaglaucoma drainage surgeryintraocular pressurenon-penetrating deep sclerectomysuprachoroidal space

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Area of Science:

  • Ophthalmology
  • Surgical Innovation
  • Glaucoma Management

Background:

  • Cataract and glaucoma often coexist, requiring combined surgical approaches.
  • Current treatments may have limitations in efficacy or donor material dependence.

Purpose of the Study:

  • To develop and evaluate a combined phacoemulsification and non-penetrating deep sclerectomy with suprachoroidal drainage using an autoscleral flap.
  • To assess the safety and efficacy of this novel combined surgical technique for cataract and glaucoma.

Main Methods:

  • A cohort of 34 patients underwent combined phacoemulsification and non-penetrating deep sclerectomy with suprachoroidal drainage.
  • Surgical outcomes, including visual acuity and intraocular pressure, were monitored postoperatively.

Main Results:

  • Postoperative visual acuity ranged from 0.5 to 0.7.
  • Intraocular pressure (IOP) significantly decreased, averaging 17.2±2.4 mmHg initially and stabilizing at 16.0±1.8 mmHg at 6 months.
  • At 1 year, 32 patients maintained normal IOP, with only 2 requiring medication.

Conclusions:

  • Non-penetrating deep sclerectomy with suprachoroidal drainage offers stable IOP reduction for combined cataract and glaucoma surgery.
  • This technique is effective and does not necessitate the use of donor materials.