Non-penetrating Deep Sclerectomy and Phacoemulsification Performed in Two Stages in Patients with Glaucoma and Cataract
<strong>Background:</strong> surgical treatment of patients with primary chronic glaucoma and cataract remains a dilemma for ophthalmologists. <br /><strong>Objective:</strong> to assess the postoperative results of non-penetrating deep sclerectomy with mitomycin C and...
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| Format: | Article |
| Language: | Spanish |
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2014-02-01
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| Series: | Medisur |
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| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/2452 |
| _version_ | 1797277950772510720 |
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| author | Francisco Rey García González Dayamí Pérez Gómez Rodolfo López Rodríguez. Patricia González Vargas |
| author_facet | Francisco Rey García González Dayamí Pérez Gómez Rodolfo López Rodríguez. Patricia González Vargas |
| author_sort | Francisco Rey García González |
| collection | DOAJ |
| description | <strong>Background:</strong> surgical treatment of patients with primary chronic glaucoma and cataract remains a dilemma for ophthalmologists. <br /><strong>Objective:</strong> to assess the postoperative results of non-penetrating deep sclerectomy with mitomycin C and phacoemulsification performed in two stages in patients with primary chronic glaucoma and cataract. <br /><strong>Methods:</strong> a prospective descriptive study was conducted in 200 patients who underwent non -penetrating deep sclerectomy with mitomycin C and Nd:YAG laser peripheral iridotomy in the first stage and phacoemulsification with intraocular PMMA lens implantation in the second stage. Corrected visual acuity, intraocular pressure and filtering blebs, cup-to-disc ratio and intra -and postoperative complications were analyzed.<br /> <strong>Results:</strong> visual acuity improved from 0.4 before surgery to 0.7 a year after surgery. Sixty-two percent of the filtering blebs remained prominent and functional. After phacoemulsification, 17 % of the eyes continued under medication and 83% maintained the intraocular pressure below 17 mmHg, without treatment. Postoperative complications included moderate iridocyclitis (74 %) and posterior capsular opacity after a year (46%). Eighteen eyes (9 %) developed mild and transient endothelial decompensation. <br /><strong>Conclusions:</strong> non -penetrating deep sclerectomy with mitomycin C and phacoemulsification performed in two stages lead to the surgical management of primary chronic glaucoma and good vision. |
| first_indexed | 2024-03-07T15:56:36Z |
| format | Article |
| id | doaj.art-cfd5cff0053e4e0ab3d4ca0e5b97a0f8 |
| institution | Directory Open Access Journal |
| issn | 1727-897X |
| language | Spanish |
| last_indexed | 2024-03-07T15:56:36Z |
| publishDate | 2014-02-01 |
| publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
| record_format | Article |
| series | Medisur |
| spelling | doaj.art-cfd5cff0053e4e0ab3d4ca0e5b97a0f82024-03-04T23:09:43ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2014-02-0112135411061Non-penetrating Deep Sclerectomy and Phacoemulsification Performed in Two Stages in Patients with Glaucoma and CataractFrancisco Rey García González0Dayamí Pérez Gómez1Rodolfo López Rodríguez.2Patricia González Vargas3Hospital Clínico Quirúrgico Hermanos Ameijeiras.Hospital Clínico Quirúrgico Hermanos Ameijeiras.Hospital Clínico Quirúrgico Hermanos Ameijeiras.Hospital Clínico Quirúrgico Hermanos Ameijeiras.<strong>Background:</strong> surgical treatment of patients with primary chronic glaucoma and cataract remains a dilemma for ophthalmologists. <br /><strong>Objective:</strong> to assess the postoperative results of non-penetrating deep sclerectomy with mitomycin C and phacoemulsification performed in two stages in patients with primary chronic glaucoma and cataract. <br /><strong>Methods:</strong> a prospective descriptive study was conducted in 200 patients who underwent non -penetrating deep sclerectomy with mitomycin C and Nd:YAG laser peripheral iridotomy in the first stage and phacoemulsification with intraocular PMMA lens implantation in the second stage. Corrected visual acuity, intraocular pressure and filtering blebs, cup-to-disc ratio and intra -and postoperative complications were analyzed.<br /> <strong>Results:</strong> visual acuity improved from 0.4 before surgery to 0.7 a year after surgery. Sixty-two percent of the filtering blebs remained prominent and functional. After phacoemulsification, 17 % of the eyes continued under medication and 83% maintained the intraocular pressure below 17 mmHg, without treatment. Postoperative complications included moderate iridocyclitis (74 %) and posterior capsular opacity after a year (46%). Eighteen eyes (9 %) developed mild and transient endothelial decompensation. <br /><strong>Conclusions:</strong> non -penetrating deep sclerectomy with mitomycin C and phacoemulsification performed in two stages lead to the surgical management of primary chronic glaucoma and good vision.http://medisur.sld.cu/index.php/medisur/article/view/2452esclerostomíamitomicinafacoemulsificaciónglaucoma |
| spellingShingle | Francisco Rey García González Dayamí Pérez Gómez Rodolfo López Rodríguez. Patricia González Vargas Non-penetrating Deep Sclerectomy and Phacoemulsification Performed in Two Stages in Patients with Glaucoma and Cataract Medisur esclerostomía mitomicina facoemulsificación glaucoma |
| title | Non-penetrating Deep Sclerectomy and Phacoemulsification Performed in Two Stages in Patients with Glaucoma and Cataract |
| title_full | Non-penetrating Deep Sclerectomy and Phacoemulsification Performed in Two Stages in Patients with Glaucoma and Cataract |
| title_fullStr | Non-penetrating Deep Sclerectomy and Phacoemulsification Performed in Two Stages in Patients with Glaucoma and Cataract |
| title_full_unstemmed | Non-penetrating Deep Sclerectomy and Phacoemulsification Performed in Two Stages in Patients with Glaucoma and Cataract |
| title_short | Non-penetrating Deep Sclerectomy and Phacoemulsification Performed in Two Stages in Patients with Glaucoma and Cataract |
| title_sort | non penetrating deep sclerectomy and phacoemulsification performed in two stages in patients with glaucoma and cataract |
| topic | esclerostomía mitomicina facoemulsificación glaucoma |
| url | http://medisur.sld.cu/index.php/medisur/article/view/2452 |
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