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Abstract #19027 Published in IGR 3-1

Evaluation of various methods effectiveness for aphakia correction in patients with myopic refraction and glaucoma

Erichev VP; Filippova OM
Vestnik Oftalmologii 2000; 116: 26-28


The efficiency of various methods for correcting postoperative aphakia was evaluated in 113 patients (118 eyes) with medium and high myopia and glaucoma. In group 1 (44 eyes), extraocular correction of aphakia was planned after cataract extraction; in group 2 (33 eyes), intraocular lenses were implanted; in group 3 (21 eyes), combined interventions were performed (cataract extraction with antiglaucoma component); and in group 4 (20 eyes), cataract extraction was performed simultaneously with sinusotrabeculectomy and the intraocular correction of aphakia. The number of patients with visual acuity above 0.1 was significantly higher in groups 2 and 4 after implantation of intraocular lenses than in groups 1 and 3, who needed extraocular correction of aphakia: 59.1% in group 1, 42.9% in group 3, 78.8% in group 2, and 60% in group 4. Intraocular correction of aphakia in patients with glaucoma and myopia helps to attain maximum possible visual acuity, even in patients with far-advanced stages of the disease with residual visual fields. An individual approach to estimating the optic force of implanted intraocular lenses helps to reduce the myopic refraction in the operated eye. LA: Russian


Classification:

8.1 Myopia (Part of: 8 Refractive errors in relation to glaucoma)



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