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Klin Monbl Augenheilkd 2000; 216(5): 250-255
DOI: 10.1055/s-2000-10554
KASUISTIK

Georg Thieme Verlag Stuttgart · New York

Phakotrabekulektomie ohne NahtMittelfristige Ergebnisse

Phacotrabeculectomy without suturing, intermediate resultsJoanna  D. Kownacki, Lorenzo  G. Artaria
  • Clinica Oculistica, Ospedale Regionale, 6900 Lugano, Schweiz
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Publication History

Publication Date:
31 December 2000 (online)

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Zusammenfassung

Hintergrund Analyse der mittelfristigen Ergebnisse einer vereinfachten Technik zur kombinierten Operation von Katarakt und Glaukom

Material und Methoden 55 Augen von 50 medikamentös behandelten Glaukompatienten wurden gleichzeitig an Katarakt und Glaukom operiert und über mindestens 6,5 Monate nachbeobachtet. Nach Phakoemulsifikation über einen skleralen Tunnel mit Implantation einer gefalteten Intraokularlinse wurde durch eine inverse T-förmige Inzision des Tunnelbodens eine ventilartige Schließung ohne Nahtanwendung durchgeführt.

Ergebnisse Bei 45 (83 %) Augen lag der Intraokulardruck während der Nachbeobachtungszeit ohne Medikation im physiologischen Bereich. In 10 Fällen (17 %) musste postoperativ erneut eine Glaukommedikation eingesetzt werden. Die häufigsten postoperativen Frühkomplikationen waren: Transistorischer intraokulärer Hypertonus (20,0 %), positives Seidelzeichen (20,0 %), initiale intraokuläre Hypotonie (10,9 %) und Hyphäma (9,1 %).

Schlussfolgerungen Die Resultate der Studie zeigen, dass Phakotrabekulektomie ohne Naht eine sichere und mittelfristig wirksame Methode zur gleichzeitigen Katarakt- und Glaukomchirurgie darstellt.

Background To study the medium-term success rate of a simple surgical technique for combined operation of catract and glaucoma.

Materials and Methods Of 50 patients with cataract and various types of glaucoma, 55 eyes underwent a combined operation for cataract and glaucoma and were followed up for at least 6.5 months. The phacoemulsification war performed through a scleral tunnel. After implantation of a foldable IOL an“inverse T” incision of the tunnel floor was performed to create a valve mecanism closure.

Results In 45 eyes (83 %) the intraocular pressure was controlled without medications during the follow-up time. In 10 cases (17 %) a new glaucoma medication was introduced postoperatively. Following early postoperative complications were noticed: early intraocular hypertension (20.0 %), wound leakage (20.0 %), early intraocular hypotension (10.9 %), hyphema (19.1 %).

Conclusions No-stitch phacotrabeculectomy appears to be a safe and (medium-term) effective procedure for combined surgery of cataract and glaucoma

Schlüsselwörter

Katarakt - Glaukom - kombinierte Operation - Phakotrabekulektomie

Key words

cataract - glaucoma - combined operation - phacotrabeculectomy

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