Eye Hydrodynamics after Combined Treatment of Primary Open-Angle Glaucoma and Complicated Cataract

Aim: To study hydrodynamics of the eye after combined treatment – a combination of laser activation of trabecula and cataract phacoemulsification – in a comparative aspect.Material and methods. The study included 65 patients (65 eyes) with initial and advanced stages (I–II stages) of primary open-an...

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Autores principales:	T. V. Sokolovskaya, P. L. Volodin, V. N. Yashina, V. V. Teplovodskaya
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	primary open-angle glaucoma complicated cataract combined treatment laser activation of trabecula phacoemulsification hydrodynamics of the eye Science Q
Acceso en línea:	https://doaj.org/article/1bfe1d9daa814bdfb94c2dcee4a7c231
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spelling	oai:doaj.org-article:1bfe1d9daa814bdfb94c2dcee4a7c2312021-11-23T06:14:43ZEye Hydrodynamics after Combined Treatment of Primary Open-Angle Glaucoma and Complicated Cataract2541-94202587-959610.29413/ABS.2019-4.4.20https://doaj.org/article/1bfe1d9daa814bdfb94c2dcee4a7c2312019-08-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2134https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Aim: To study hydrodynamics of the eye after combined treatment – a combination of laser activation of trabecula and cataract phacoemulsification – in a comparative aspect.Material and methods. The study included 65 patients (65 eyes) with initial and advanced stages (I–II stages) of primary open-angle glaucoma (POAG) and complicated cataract. Among the patients there were 38 women (58.5 %) and 27 men (41.5 %), the average age was 68.8 ± 8.2 years. The follow-up period is 12 months after the treatment. The patients were divided into two groups: the main one – 33 patients (33 eyes) who underwent combined treatment – YAG-laser activation of trabecula (YAG-LAT) and phacoemulsification of cataract with intraocular lens (IOL) implantation, the control group – 32 patients (32 eyes) who underwent only phacoemulsification.Initially, the average intraocular pressure (IOP) (P0) in the main and control groups was 20.72 ± 3.39 mm Hg and 21.02 ± 3.55 mm Hg respectively. The average number of antihypertensive drugs used in the study group was 1.53 ± 0.64, in the control group – 1.34 ± 0.55.Results. There were no intraand postoperative complications. By the end of the follow-up period, a significant decrease in the average IOP level compared to its preoperative value by 29.2 % was determined in the main group, and 9.8 % in the control. The average number of antihypertensive drugs used in the study group decreased from 1.53 ± 0.64 to 0.67 ± 0.59 (p < 0.05), in the control group of patients, on the contrary, the average number of antihypertensive agents increased from 1.34 ± 0.55 to 1.91 ± 0.70 (p < 0.05).Conclusion. In the long-term postoperative period after combined treatment (YAG-LAT + phaco), IOP normalization was achieved in 96.9 % of cases, as well as a significant increase in visual acuity of patients. The developed method of treatment is safe, has a minimal risk of complications and can be used for the treatment of patients with initial stages of POAG in combination with complicated cataracts with increased IOP level, inefficiency of antihypertensive therapy.T. V. SokolovskayaP. L. VolodinV. N. YashinaV. V. TeplovodskayaScientific Сentre for Family Health and Human Reproduction Problemsarticleprimary open-angle glaucomacomplicated cataractcombined treatmentlaser activation of trabeculaphacoemulsificationhydrodynamics of the eyeScienceQRUActa Biomedica Scientifica, Vol 4, Iss 4, Pp 129-133 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	primary open-angle glaucoma complicated cataract combined treatment laser activation of trabecula phacoemulsification hydrodynamics of the eye Science Q
spellingShingle	primary open-angle glaucoma complicated cataract combined treatment laser activation of trabecula phacoemulsification hydrodynamics of the eye Science Q T. V. Sokolovskaya P. L. Volodin V. N. Yashina V. V. Teplovodskaya Eye Hydrodynamics after Combined Treatment of Primary Open-Angle Glaucoma and Complicated Cataract
description	Aim: To study hydrodynamics of the eye after combined treatment – a combination of laser activation of trabecula and cataract phacoemulsification – in a comparative aspect.Material and methods. The study included 65 patients (65 eyes) with initial and advanced stages (I–II stages) of primary open-angle glaucoma (POAG) and complicated cataract. Among the patients there were 38 women (58.5 %) and 27 men (41.5 %), the average age was 68.8 ± 8.2 years. The follow-up period is 12 months after the treatment. The patients were divided into two groups: the main one – 33 patients (33 eyes) who underwent combined treatment – YAG-laser activation of trabecula (YAG-LAT) and phacoemulsification of cataract with intraocular lens (IOL) implantation, the control group – 32 patients (32 eyes) who underwent only phacoemulsification.Initially, the average intraocular pressure (IOP) (P0) in the main and control groups was 20.72 ± 3.39 mm Hg and 21.02 ± 3.55 mm Hg respectively. The average number of antihypertensive drugs used in the study group was 1.53 ± 0.64, in the control group – 1.34 ± 0.55.Results. There were no intraand postoperative complications. By the end of the follow-up period, a significant decrease in the average IOP level compared to its preoperative value by 29.2 % was determined in the main group, and 9.8 % in the control. The average number of antihypertensive drugs used in the study group decreased from 1.53 ± 0.64 to 0.67 ± 0.59 (p < 0.05), in the control group of patients, on the contrary, the average number of antihypertensive agents increased from 1.34 ± 0.55 to 1.91 ± 0.70 (p < 0.05).Conclusion. In the long-term postoperative period after combined treatment (YAG-LAT + phaco), IOP normalization was achieved in 96.9 % of cases, as well as a significant increase in visual acuity of patients. The developed method of treatment is safe, has a minimal risk of complications and can be used for the treatment of patients with initial stages of POAG in combination with complicated cataracts with increased IOP level, inefficiency of antihypertensive therapy.
format	article
author	T. V. Sokolovskaya P. L. Volodin V. N. Yashina V. V. Teplovodskaya
author_facet	T. V. Sokolovskaya P. L. Volodin V. N. Yashina V. V. Teplovodskaya
author_sort	T. V. Sokolovskaya
title	Eye Hydrodynamics after Combined Treatment of Primary Open-Angle Glaucoma and Complicated Cataract
title_short	Eye Hydrodynamics after Combined Treatment of Primary Open-Angle Glaucoma and Complicated Cataract
title_full	Eye Hydrodynamics after Combined Treatment of Primary Open-Angle Glaucoma and Complicated Cataract
title_fullStr	Eye Hydrodynamics after Combined Treatment of Primary Open-Angle Glaucoma and Complicated Cataract
title_full_unstemmed	Eye Hydrodynamics after Combined Treatment of Primary Open-Angle Glaucoma and Complicated Cataract
title_sort	eye hydrodynamics after combined treatment of primary open-angle glaucoma and complicated cataract
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/1bfe1d9daa814bdfb94c2dcee4a7c231
work_keys_str_mv	AT tvsokolovskaya eyehydrodynamicsaftercombinedtreatmentofprimaryopenangleglaucomaandcomplicatedcataract AT plvolodin eyehydrodynamicsaftercombinedtreatmentofprimaryopenangleglaucomaandcomplicatedcataract AT vnyashina eyehydrodynamicsaftercombinedtreatmentofprimaryopenangleglaucomaandcomplicatedcataract AT vvteplovodskaya eyehydrodynamicsaftercombinedtreatmentofprimaryopenangleglaucomaandcomplicatedcataract
_version_	1718416929342881792

Eye Hydrodynamics after Combined Treatment of Primary Open-Angle Glaucoma and Complicated Cataract

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