2015, № 12 (187)

Khusnitdinov I.I., Bikbov M.M. ONE-STAGE PHACOEMULSIFICATION AND AHMED VALVE IMPLANTATION IN PATIENTS WITH REFRACTORY GLAUCOMACataract complicated with glaucoma is quite often encountered in practice and according to the literature ranges from 15 to 76 % of cases. The article presents the results of simultaneous phacoemulsification of complicated cataract and Ahmed valve implantation in 19 patients with refractory glaucoma. All patients had in past medical history of fistulizing antiglaucomatous surgery. 10 patients (10 eyes) had complicated cataract after operated primary open angle glaucoma, 6 patients — after secondary neovascular glaucoma developed on the background of progressive diabetic retinopathy, 3 patients — after a post-traumatic glaucoma. The age of patients ranged from 56 to 73 years. Early postoperative period was marked by manageable levels of IOP (14.2 mm Hg ± 2.6 mm Hg.) and the absence of inflammation and bleeding typical for fistulizing combined operations. Visual acuity increased to 0.1 in 6 eyes, from 0.2 to 0.5 — in 10 eyes, from 0.6 to 0.7 — in 3 cases. In long-term follow-up period (from 6 months to 2 years) visual acuity decreased in 2 eyes due to progression of diabetic retinopathy. In one case, in 1.5 years after surgery there was a dislocation of a complex of the capsular bag, intracapsular ring and IOL. After 12 months of follow-up there was IOP increase primarily in patients with neovascular glaucoma, the appointment of antihypertensive drugs was requested. Simultaneous phacoemulsification of complicated cataract and Ahmed valve implantation in patients with refractory glaucoma provides improvement of visual function with simultaneous compensation of intraocular pressure for a long-term follow-up period.Key words: phacoemulsification, the Ahmed valve, refractory glaucoma.

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About this article

Authors: Husnitdinov I.I., Bikbov M.M.

Year: 2015

Editor-in-chief

Sergey Aleksandrovich
MIROSHNIKOV

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