Author/Editor		Schwarzbartl-Pfeifer, Marija Ana; Zupan, Marija; Pfeifer, Vladimir
Title		Zdravljenje primarnega glavkoma zaprtega zakotja z odstranitvijo sive mrene
Translated title		Management of primary angle closure glaucoma with cataract extraction
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 74, št. 10
Publication year		2005
Volume		str. 657-62
Language		slo
Abstract		Background. We investigate the clinical result of phacoemulsification with foldable posterior chamber intraocular lens (PC-IOL) implantation in the management of primary angle closure glaucoma with cataract. Methods. We performed phacoemulsification with foldable PC-IOL implantation in the eyes with primary angle closure glaucoma and cataract. Methods. We performed phacoemulsification with foldable PC-IOL implantation in the eyes with primary angle closure glaucoma and cataract. Eyes were divided in three groups. In the first group were eyes with primary acute-closed angle glaucoma with no PAS (peripheral anterior synechiae). In the second group were eyes with primary chronic angle-closure glaucoma with less than 180 degrees of PAS. In the third group were eyes with primary chronic angle-closure glaucoma with more than 180 degrees of PAS seen on gonioscopic examination. Results. In the first group of 15 patient mean follow up time was 10.7 month. IOP change from mean 58 mmHg to mean 13.5 mmHg postoperative. ACD change from 2.31 mm to 3.67 mm postoperative. Best corrected visual acuity change from 0.25 to 0.7 postoperative. In the second group of 30 patient mean follow up time was 15.9 months. IOP fall from mean 19.9 mmHg to mean 12.1 mmHg postoperative. ACD change from 2.45 mm to 3.93 mm postoperative. Best corrected visual acuity change from 0.4 to 0.83 postoperative. In the third group of 15 patient mean follow up time was 9.6 month. IOP fall from mean 16.4 mmHg to mean 14.5 mmHg postoperative. ACD change from 2.51 mm to 4.20 mm postoperative. Best corrected visual acuity change from 0.25 to 0.54 postoperative. Conclusions. Phacoemulsification with PC-IOL implantation can be a good alternative in treating eyes with cataract and primary acute and chronic angle closure glaucoma with less than 180 degrees of PAS seen on gonioscopic examination. (Abstract truncated at 2000 characters)
Summary		Izhodišča. Namen raziskave je ugotoviti klinični pomen fakoemulzifikacije z implantacijo umetne mehke upogljive leče v lečno kapsulo (PC-IOL) kot oblika zdravljenja primarnega glavkoma zaprtega zakotja. Metode. Pri očeh s primarnim glavkomom zaprtega zakotja in prisotno sivo mreno smo naredili operacijo sive mrene z implantacijo PC IOL (umetne mehke upogljive leče v lečno kapsulo). Oči smo razdelili v tri skupine. V prvi skupini smo operirali oči z akutnim primarnim glavkomom zaprtega zakotja brez PAS (perifernih sprednjimi zarastlinami). Zakotje je ostalo zaprto kljub znižanju IOP (očesni tlak) na nižjo vrednost s parenteralno terapijo. V drugi skupini smo operirali oči s kroničnim primarnim glavkomom zaprtega zakotja z manj kot 180 stopinjami PAS, vidnih pri gonioskopiji pred operacijo. V tretji skupini smo operirali oči s kroničnim primarnim glavkomom zaprtega zakotja z več kot na 180 stopinjami PAS, vidnih pri gonioskopiji pred operacijo sive mrene. Rezultati. V prvi skupini 15 pacientov je bil čas sledenja v povprečju 10,7 meseca. IOP se je znižal s povprečno 58 mmHg na povprečno 13,5 mmHg pooperativno. ACD se je s povprečno 2,31 mm poglobila na 3,67 mm pooperativno. Korigirana vidna ostrina se je z 0,25 izboljšala na 0,7 pooperativno. V drugi skupini 30 pacientov je bil povprečni čas sledenja 15,9 meseca. IOP se je znižal s povprečno 19,9 mmHg na povprečno 12,1 mmHg pooperativno. ACD se je s povprečno 2,45 mm poglobila na 3,93 mm pooperativno. Korigirana vidna ostrina se je z 0,4 izboljšala na 0,83 pooperativno. V tretji skupini 15 pacientov je bil povprečni čas sledenja 9,6 meseca. IOP se je znižal s povprečno 16,4 mmHg na povprečno 14,5 mmHg pooperativno ACD se je s povprečno 2,51 mm poglobila na 4,20 mm pooperativno. Korigirana vidna ostrina se je z 0,25 izboljšala na 0,54 pooperativno. (Izvleček prekinjen pri 2000 znakih)
Descriptors		GLAUCOMA, ANGLE-CLOSURE CATARACT EXTRACTION GONIOSCOPY PHACOEMULSIFICATION