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Cataract surgery in patients with chronic dacryocystitis

Poster Details

First Author: S.Kuzbekov RUSSIA

Co Author(s):    M. Bikbov   R. Fayzrakhmanov   M. Kalanov        

Abstract Details



Purpose:

To develop a method of preoperative preparation of patients referred for surgical treatment of cataracts with chronic dacryocystitis. The use of transcanalicular laser endoscopic dacryocystorhinostomy with implantation new lacrimal surgery drainage for early cataract surgery.

Setting:

Ufa Eye Research Institute

Methods:

We observed 3 patients aged 60 ± 3 years, with complaints of decreased visual acuity, tears - and suppuration throughout the year. He was diagnosed: Immature senile cataract. Chronic dacryocystitis. Given the presence of contraindications for ultrasound phacoemulsification cataract, was held transcanalicular laser endoscopic dacryocystorhinostomy with implantation new lacrimal surgery drainage. Dakriostomae generated by diode laser. Radiation parameters were as follows: wavelength 970nm , emission power 6-7 W, continuous operation. Drainage was implanted into dakriostomae by plastic injector. Achieved free patency of the lacrimal pathways. A course of antibiotic and anti-inflammatory therapy.

Results:

After transcanalicular laser endoscopic dacryocystorhinostomy with implantation of a new drainage for lacrimal surgery patients experienced no tears and pus flow, drainage in the correct position, the patency of the lacrimal pathways free . The absence of inflammation in the lacrimal sac. On day 7, held ultrasonic phacoemulsification catatct with IOL implantation, postoperative period was uneventful, inflammatory complications were not identified.

Conclusions:

Performing transcanalicular laser endoscopic dacryocystorhinostomy with implantation of a new drainage for lacrimal surgery allows for conducting cataract surgery in patients with chronic dacryocystitis on the 7th day. Using the new drainage reduces the risk of postoperative complications of cataract surgery. FINANCIAL INTEREST: NONE

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