Katarakt cerrahisinin primer açı kapanması glokomuna etkisi

Özet

Amaç: Katarakt cerrahisinin primer açı kapanması glokomuna (PAKG) etkisini ve cerrahi komplikasyonları değerlendirmek. Gereç ve Yöntem: Katarakt cerrahisi planlanan ve PAKG olan 12 hastanın 15 gözü ile kontrol grubu olarak katarakt cerrahisi planlanan 13 hastanın 15 gözü çalışmaya dahil edildi. Tüm gözlere mikrokoaksiyel katarakt cerrahisi yapıldı. Ön kamara derinliği, ön kamara açısı, göz içi basıncındaki (GİB) değişim, kullanılan antiglokomatöz ilaç sayısı ve komplikas- yonlar kaydedildi. Ölçümler ameliyat öncesi 3. gün ve ameliyat sonrası 1., 2., 3. aylarda yapıldı. Bulgular: Ameliyat öncesi ön kamara derinliği PAKG’li gözlerde ortalama 2.21±0.5 mm iken 3. ayda 3.59±0.4 mm olarak ölçüldü (p 0.05). Sonuç: Katarakt cerrahisi ile PAKG’li gözlerde daha düşük GİB seviyesi, daha az sayıda antiglokomatöz ilaç gereksinimi ve daha iyi seviyede görme keskinliği elde edilerek hastaların yaşam kalitesi arttırılabilir.

Abstract

Purpose: To evaluate effect of cataract surgery on primary angle closure glaucoma (PACG) and surgical complications. Materials and Methods: Fifteen eyes of 12 patients with PACG and scheduled for cataract surgery comprised the study group, 15 eyes of 13 patients scheduled for cataract surgery were included as control group in the study. Microcoaxial cata- ract surgery was performed to all eyes. Anterior chamber depth, angle of anterior chamber, change in intraocular pressure (IOP), number of antiglaucomatous medications, and complications were recorded. Measurements were performed 3 days before, and first, second, third month control after surgery. Results: While preoperative mean anterior chamber depth in eyes with PACG was 2.21±0.5 mm, it was measured as 3.5±0.4 mm on third month control (p<0.001). The decrease in rate of eyes with grade 0-1 angles, and increase in rate of grade 2-3 angle at 3 months was statistically significant. While the mean corrected IOP was 17.9±3.1 mmHg with topical an- tiglaucomatous medications, it was 15.9±3.8 mm Hg at 3 months. The mean number of antiglaucomatous medications was detected as 2.1±0.4 preoperatively, and 1.1±0.9 at 3 months. During surgery, in 1 eye zonular dialysis, in 1 eye paracentral endothelial damage occured. In control group, the change in anterior chamber depth was statistically significant (p<0.01), whereas the change in anterior chamber angle, and IOP was not significant (p>0.05). Conclusion: The quality of life in patients with cataract surgery in eyes PACG can be increased by obtaining lower IOP, necessity of less number of antiglaucomatous medications, and better visual acuity.