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Journals / MN Oftalmoloji / 2000 / Cilt: 7 - Sayı: 4

Effect of cataract extraction on intraocular pressure in patients who had trabeculectomy

Trabekülektomili olgularda katarakt ekstraksiyonunun göz içi basıncına etkisi

Haydar ERDOĞAN
Mustafa Kemal ARICI
Aysen TOPALKARA
Zennure ÖZDEMİR
Pages
361–363
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CONCLUSION: In the patients with functioning blebs, during the follow-up period there was no significant effect of ECCE and IOL implantation on IOP.

📌 3 Key Takeaways

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Objective & Hypothesis:PURPOSE: In this study, the effect of cataract extraction on intraocular pressure (10P) was studied in glaucoma patients who had previously undergone trabeculectomy.
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Key Findings & Data:MATERIAL AND METHOD: Twelve glaucoma patients (13 eyes) with functioning filtering blebs had extracapsular cataract extraction and intraocular lens (IOL) implantation in this retrospective study.
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Conclusion & Impact:CONCLUSION: In the patients with functioning blebs, during the follow-up period there was no significant effect of ECCE and IOL implantation on IOP.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Trabekülektomi · Katarakt çıkartılması · Göz içi basınç

Abstract

PURPOSE: In this study, the effect of cataract extraction on intraocular pressure (10P) was studied in glaucoma patients who had previously undergone trabeculectomy. MATERIAL AND METHOD: Twelve glaucoma patients (13 eyes) with functioning filtering blebs had extracapsular cataract extraction and intraocular lens (IOL) implantation in this retrospective study. After extracapsular cataract extraction (ECCE) and IOL implantation, all patients were followed for at least 9 months. After ECCE and IOL implantation, the mean IOP of the patients were measured at 1 week, 1,3,6 and 9 months and were compared with preoperative mean IOP. Also, the mean number of ocular hypotensive drugs were compared at 1 week, 1,3,6 and 9 months. RESULTS: Before ECCE and IOL implantation the mean IOP was 17.23 ± 7.10 mmHg, after ECCE and IOL implantation the mean IOP values at 1 week, 1, 3, 6 and 9 months were 17.70 ± 3.73 mmHg, 17.31 ± 4.48 mmHg, 17.92 ± 3.45 mmHg, 17.31 ± 1.97 mmHg and 17.85 ± 1.77 mmHg, respectively and there was no statistically significant difference between the mean IOP (p>0.05). In addition there were no statistically significant difference, between the number of ocular hypotensive drugs used pre and postoperatively (p>0.05). During the postoperative follow-up period, all patients had functioning filtering blebs. CONCLUSION: In the patients with functioning blebs, during the follow-up period there was no significant effect of ECCE and IOL implantation on IOP.

Özet

AMAÇ: Bu çalışmada daha önce trabekülektomi ameliyatı geçirmiş ve fonksiyonel blebi olan glokomlu hastalarda, katarakt ekstraksiyonunun göz içi basıncına(GİB) etkisi araştırıldı GEREÇ VE YÖNTEM: Retrospektif olarak yapılan bu çalışmaya fonksiyonel blebi olan ve ekstrakapsüler katarakt ekstraksiyonu (EKKE) ve arka kamara göz içi lens(AKGİL) implantasyonu yapılan 12 glokomlu (13 göz) hasta alındı. Tüm hastalar EKKE+AKGİL implantasyonu sonrasında en az 9 ay takip edildi. Hastaların EKKE+AKGİL implantasyonu sonrası ortalama GİB, 1. hafta, 1.,3.,6. ve 9. aylarda ölçülerek preoperatif ortalama GİB ile karşılaştırıldı. Ayrıca bu süre içinde kullanılan ortalama antiglokomatöz ilaç sayısı da karşılaştırıldı. BULGULAR: EKKE+AKGİL öncesi ortalama GİB 17.23 ± 7.10 mmHg iken, EKKE+AKGİL sonrası 1. hafta, 1., 3., 6. ve 9. aylardaki GİB değerleri sırası ile 17.70 ± 3.73 mmHg, 17.31 ± 4.48 mmHg, 17.92 ± 3.45 mmHg, 17.31 ± 1.97 mmHg ve 17.85 ± 1.77 mmHg idi. EKKE+AKGİL öncesi ile sonrası tüm zamanlarda, ortalama GİB'ları arasında istatistiksel olarak anlamlı fark yoktu(p>0.05). Ayrıca preoperatif ve postoperatif antiglokomatöz ilaç sayısı bakımından da istatistiksel olarak anlamlı fark saptanmadı (p>0.05). Postoperatif takip süresince tüm hastalarda fonksiyonel blebin devam ettiği saptandı. SONUÇ: Fonksiyonel blebi olan glokomlu hastalarda EKKE+AKGİL implantasyonunun, takip süresi boyunca GİB'na önemli bir etkisinin olmadığı düşünüldü.

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Cite This Article

ERDOĞAN, H., ARICI, M. K., TOPALKARA, A., ÖZDEMİR, Z. (2000). Effect of cataract extraction on intraocular pressure in patients who had trabeculectomy. MN Oftalmoloji, Cilt: 7 - Sayı: 4, 361–363. https://ajindex.com/articles/296479

References (10)

  1. Murchinson FJ, Shields BM. An evaluation of three surgical for coexisting cataract and glaucoma. Ophthalmic Surg 1989; 20:393-8
  2. Burratto L, Ferrari M. Extracapsular cataract surgery and intraocular lens implantation in glaucomatous eyes that had a filtering bleb operation. J Cataract Surg 1990; 16:315-9
  3. TamaraWJ, Adiel B, Shlomo M, Yoseph G. İntraocular pressure increments after cataract extraction in glaucomatous eyes with functioning filtering blebs. Ophthalmıc Surg Lasers 1997; 28:657-61
  4. Savage JA, Thomas JV, Belcher CD, Simmons RJ. Exlracapsular cataract extraction and posterior chamber lens implantation in glaucomatous eyes. Ophthalmology 1985; 92:1506-16
  5. Drosulum L, Haskjoid E. Extracapsular calaract extraction in eyes previously operated for glaucoma. Acta Ophthmol Scand 1994;72:273-8
  6. Kooner KS, Dulaney DD, Zimmerman TJ. Intraocular pressure folowing ECCE and IOL implantation in patients with glaucoma. Ophthalmic Surg 1988; 19:570-5
  7. Caprioli J, Park HJ, Kwan YH, Weitzman M. Temporal corneal phacoemulsification İn filtered glaucoma patients. Trans Am Ophthalmol Soc 1997; 95:153-67
  8. Yamagami S, Araie M, Mori M, Mishima K. Posterior chamber intraocular lens implantation in filtered or nonfiltered glaucoma eyes. Jpn J Ophthalmol 1994; 3S;71 -9
  9. Synder A, Kovralski M, Omuleck W, Bogorodzki B. Extracapsular cataract extraction with intraocular les implantation after glaucoma sugery. Klin-Oczna 1997; 99:25-8
  10. Seah SK, Jap A, Prata JA, Baerveldt G, Lee PP, Minckler DS. Cataract surgery after trabeculeetomy. Ophthalmİc Surg Lasers 1996; 27:587-94, 11. Kılıç M, Alimgil ML, Benian Ö, Erda S. Trabekülektomili gözlerde katarakt ameliyatının göz içi basıncı üzerine etkisi. MN Oftalmoloji 1999; 6:362-4.