Results of sinus trabeculectomy in treatment of patients with combination of glaucoma and cataract

Authors

  • N. G. Zavgorodnjaja
  • A. S. Sarzhevsky

DOI:

https://doi.org/10.14739/2310-1210.2015.2.42111

Keywords:

Glaucoma, Cataract, Postoperative Complications, Intraoperative Complications

Abstract

Glaucoma is one of the most frequent reasons of vision decline and disability. One of methods of surgical treatment of glaucoma is an operation of filter type – sinus trabeculectomy.

Aim. With the purpose of estimation of operative treatment results of morphological structure of the front part of the eye, hydrodynamics and functional indexes were studied in 49 patients (49 eyes) with glaucoma before and after surgical treatment.

Methods and results. It was established that the operation had high hypotension efficacy. However, reduction of the anterior chamber depth (12,7%), size of the lens increase, resulting in further progression of cataracts and necessity of surgical treatment, were observed after operation. High percentage of intraoperative and postoperative complications, especially in patients with non-ischemic type of glaucoma, were identified after operation.

Conclusion. This data indicates the necessity of changing tactics of treatment of patients with different clinical types of glaucoma regardless of the level of IOP and transparency of the lens. 

References

Bezuhlyi, M. B. (2007) Efektyvnist kombinovanoho dvokhetapnoho metodu khiryrhiсhnoho likuvannia pervynnoi vidkrytokutovoi glaukomy (Avtoref. dis…kand. med. nauk). [Efficiency of Combined Two-Staged SurgicalTreatment Method for Primary Open-Angle Glaucoma]. (Extended abstract of candidate’s thesis). Odesa [in Ukrainian].

Zharov, V. V., & Rykov, V. P. (2009). Ciliokhorioidal`naya otslojka (k voprosam etiopatogeneza, profilaktiki i lecheniya) [Ciliochoroid detachment. Literary review] Klinicheskaya oftal`mologiya, 10(1), 40–41 [in Russian].

Zavgorodnyaya, N. G. & Pasechnikova, N. V. (2010) Pervichnaya glaukoma. Novyj vzglyad na staruyu problemu [Primary glaucoma. A new look at an old problem]. Zaporozh'e: Orbita-YuG. [in Ukrainian].

Moshetova, L. K., Cochergin, S. A., Alekseev, I. B., Samoylenko, A. I., & Beisekeeva J. S., (2011). Anatomo-funkcionalnye izmeneniya perednego otrezka posle fakoemul`sifikacii katarakty pri pervichnoj zakrytougol`noj glaukome [Anatomic-functional changes in anterior chamber after phacoemulsification in eyes with primary angle-closure glaucoma]. Glaukoma, 2, 44–51 [in Russian].

Sorokin, E. L., Marchenko, A. N., & Danilov, O. V. (2014). Rol` i klinicheskoe znachenie fakomorficheskogo komponenta v formirovanii pervichnoj zakrytougol`noj glaukomy pri utolshchennoj forme khrustalika (k voprosu o heneze zakrytouholnoi hlaukomy). Soobshchenie 1 [Role and clinical value of phacomorphic component in formation of primary closed-angle glaucoma in case of a thickened lens form (towards a problem of genesis of closed-angle glaucoma)] Report 1. Oftal`mokhirurgiya, 1, 53–59 [in Russian].

Bunce, C., & Wormald, R. (2008) Causes of blind certifications in England and Wales: April 1999–March 2000. Eye. (Lond), 22, 905–911.

De Barros, D. S, Da Silva, R. S, Siam, G. A., Gheith, M. E., Nunes, C. M., Lankaranian, D., et al. (2009) Should an iridectomy be performed routinely as part of trabeculectomy? Two surgeons clinical experience. Eye (Lond), 23, 362–367. doi:10.1038/sj.eye.6703034

Ehnrooth, P., Lehto, I., Puska, P., et al. (2005) Phacoemulsification in trabeculised eyes. Acta Ophthalmol Scand, 83, 561–566.

Herman, D. C., Gordon, M. O., Beiser, J. A., Chylack, L. T., Lamping, K. A., Schein, O. D., et al (2006) Topical ocular hypotensive medication and lens opacification: evidence from the ocular hypertension treatment study. Am J Ophthalmol, 142, 800–810. doi: 10.1016/j.ajo.2006.06.052.

Hitchings, R. A. (2009) Glaucoma: an area of darkness. Eye. (Lond), 23, 1764–1774. doi: 10.1038/eye.2008.260.

Keenan, T. D., Salmon, J. F., Yeates, D., & Goldacre, M. J. (2009) Trends in rates of trabeculectomy in England. Eye. (Lond), 23, 1141–1149. doi: 10.1038/eye.2008.195.

Lu, D. (2009) Trabeculectomy in patients with primary angle-closure glaucoma. WGA abstracts, 269.

Musch, D. C., Gillespie, B. W., Niziol, L. M., Janz, N. K., Wren, P. A., Rockwood, E.J., et al. (2006) Cataract extraction in the collaborative initial glaucoma treatment study: incidence, risk factors, and the effect of cataract progression and extraction on clinical and quality-of-life outcomes. Arch Ophthalmol, 124, 1694–1700. doi:10.1001/archopht.124.12.1694.

Marthew, R. G., & Murdoch I. E. (2011) Тhe silent enemy: a review of cataract in relation to glaucoma and trabelculectomy sugery. Br J.Ophtalmol., 95(10), 1350–1354. doi: 10.1136/bjo.2010.194811

Varma, R., Richter, G., Torres, M., Foong, A. W., Choudhury, F., & Azen, S. P. (2010) Four-year incidence and progression of lens opacities: The Los Angeles Latino Eye Study. Am J Ophthalmol, 149, 728–734. doi: 10.1016/j.ajo.2009.11.012.

Rajavi Z., Moezzi-Ghadim, H., & Kamrav, K. (2009) The Effect of Trabeculectomy on Cataract Formation or Progression. J Ophthalmic and vision research, 4(2), 84–89.

Zhang X., Teng, L., Li, A., Du, S., Zhu, Y., & Ge, J. (2007) The clinical outcomes of three surgical managements on primary angle-closure glaucoma. Yan Ke Xue Bao., 23(2), 65–74.

How to Cite

1.
Zavgorodnjaja NG, Sarzhevsky AS. Results of sinus trabeculectomy in treatment of patients with combination of glaucoma and cataract. Zaporozhye Medical Journal [Internet]. 2015Apr.27 [cited 2024Nov.23];17(2). Available from: http://zmj.zsmu.edu.ua/article/view/42111

Issue

Section

Original research