Glokomlu ya da Glokomu Olmayan Olgularda Katarakt Cerrahisinin Göz İçi Basıncına Etkisi

Pur po se: To evaluate the effects of phacoemulsification surgery with primary intraocular lens (IOL) implantation on intraocular pressure\ud(IOP) in various types of glaucoma patients with visually significant cataract and to compare these results with cataract patients without\udglaucoma.\udMa te ri al and Met hod: This retrospective study included consecutive cases of 21 primary open-angle glaucoma patients, 13 primary\udangle-closure glaucoma (PACG) patients, 11 pseudoexfoliation glaucoma patients, and 21 control eyes without any type of glaucoma; all\udpatients had co-existing cataract. Visual acuities, IOP, number of glaucoma medications used, anterior chamber depth (ACD), and\udgonioscopic evaluations were noted both pre- and postoperatively. Phacoemulsification and IOL implantations were performed via clear\udcorneal incisions in the whole study group. Study group was followed-up for six months.\udRe sults: Postoperative visits at the 1st, 3rd, and 6th months were noted. After surgery, visual acuities improved significantly (p=0.001)\udin all groups. Intraocular pressures decreased in all groups postoperatively, but the change was statistically significant in the PACG group\ud(p=0.013). Increase in ACD was significant in PACG group (p=0.001). Widening of iridocorneal angle and decrease in the number of\udantiglaucoma drugs were observed in all groups, but these were significant in the PACG group (p=0.001 and p<0.05, respectively).\udDis cus si on: In glaucoma patients with co-existing cataract, phacoemulsification surgery allows both the visual rehabilitation and IOP\udcontrol. This IOP lowering effect is seen most markedly in the PACG group. (Turk J Ophthalmol 2013; 43: 167-72