Surgical treatment of cataract in patients with glaucoma
Keywords:
cataract extraction, glaucoma/surgery, treatment outcomeAbstract
A prospective longitudinal quasi-experimental study was conducted in glaucoma patients who required cataract surgery at the José Martí Eye Center between February 2010 and August 2011 in order to evaluate the influence of cataract treatment in patients with glaucoma. Three groups of study were formed according to the treatment applied: cataract surgery, cataract surgery after trabeculectomy, and combined surgery of cataract and glaucoma at the same time. The parameters, visual acuity, eye strain, number of drugs used, and complications after treatment were assessed. A total of 31 eyes from 31 patients with a mean age of 67.2 years were included in the study. An increase in visual acuity, with and without optical correction, was documented at one month and three months in the three treatment groups. The ocular tension decreased significantly in the three groups of study; and it was most evident in the group of patients who underwent the combined operation of cataract and glaucoma at the same time. The complications listed by frequency were: corneal edema, hyphema and iris detachment. It is concluded that the treatment of cataract in glaucoma patients improves visual acuity and reduces intraocular tension and the number of drugs required by the patient with a low incidence of complications.Downloads
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