[Implantation of intraocular lenses in patients with glaucoma]

The authors evaluate the results of operations of cataract with implantation of an intraocular lens in glaucoma patients operated in 1989-1991 at the ophthalmological clinic of the Masaryk Hospital in Ustí n. Labem. The group comprised 57 patients, 64 eyes were operated. In 56 eyes ECCE with implantation of IOL was performed, in seven eyes a combined operation with trabeculectomy and in one instance a secondary implantation. The most frequent complication of operations was rupture of the posterior capsule 5 times (7.8%), possibly with loss of the vitreous body 5 times (7.8%). The most frequent early postoperative complication was a fibrinous reaction in the anterior chamber (31.2%). Vision in all patients before operation was 6/60 or poorer. On discharge it was in 48.4% 0.33 or better, 6 months after operation it was in 68.8% eyes 6/18 or better. The intraocular pressure was compensated before operation in 47 eyes (73.4%), decompensated in 7 eyes (10.9%) which corresponds to the number of combined operations. Antiglaucomatous medication after surgery -3 eyes (4.7%) had more medication, 11 eyes (17.2%) had less medication, 39 eyes (60.9%) had the same amount of medication and 11 eyes (17.2%) were without therapy.