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First Author: I.Malova RUSSIA
Co Author(s): I. Kavelenova
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To detect factors determining hypotension effect of cataract phacoemulcification with intraocular lens implantation in patients with initial open-angle glaucoma.
The research was held in a clinic of the Samara State Medical University (Russia) at the Eye Diseases Department within the period from 2008 to 2010.
Phacoemulsification of cataract with intraocular lens implantation was performed in 62 patients. Before the surgery the standard ophthalmic examination was carried out in all the patients, intraocular pressure (P0) was measured prior and post the operation. Prior and post surgical ultrasound biomicroscopy of the eye anterior segment was made with Hi-Scan Opticon.
Post operation visual acuity improved in 100% cases with 58,7% patients having visual acuity of 20/20, and 20/30 in the remaining patients. In early post operation period intraocular pressure reduced in all the patients. In patients with the anterior position of the Schlemms canal it was 20,42 ±2,14. In patients with the medium position of the Schlemms canal it was 19,6 ±2,37. In patients with the posterior position of the Schlemms canal it was 18,58 ±1,38.
Hypotension effect of phacoemulsification with intraocular lens implantation in patients with initial open-angle glaucoma depends on the position of the Schlemms canal.