PSEVDOEKSFOLİATİV SİNDROM OLAN PASİYENTLƏRDƏ KATARAKTA CƏRRAHİYYƏSİNİN UZAQ NƏTİCƏLƏRİNİN TƏHLİLİ

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SUMMARY

Aim - analysis of the results of clinical examinations after a long-term period of cataract surgery against the background of pseudoexfoliation syndrome (PES).

Material and methods
The results of clinical examinations in 51 patient (102 eyes) were analyzed after long-term cataract surgery against the background of PES. According to the results of the surveys out of 102 eyes 67 (65,68%) were with artifactia, 6 (5,88%) – with aphakia, and the remaining 29 (28,43%) was found at different stages of the "old" cataract.

Results
According to the clinical examinations in patients with atriphakia 27 (40.29%) the operation was carried out according by the phacoemulsifcation method (PE), in 30 (44.77%) by the extracapsular tunnel (CEE) method, in 5 (7.46%) with sinustrabeculectomy (STEC) with an incision of the ravine, extracapsular extraction (CEE) operations were performed. In one patient out of 10 with aphakia (16.66%), the operation was performed using the extracapsular tunnel method, in 5 (83.33%) the procedure was performed using the extracapsular section of the ravine. On the examined 102 eyes PES was found at different stages. On the operated 73 eyes in 34 (46,57%) there was found PES - Ist stage, in 25 (34.24%) - stage II, in 14 (19.17%) - stage III. Exact visibility on the artifcal eyes, up to 0.01-0.1, was in 22 (32.83%), up to 0.1-0.2 in 7 (10.44%), up to 0.2-0.5 in 22 (32.83%), and up to 0.5-1.0 in 16 (23.88%). Only up to 0.2 different correction was for an accurate visibility in the eyes with aphakia. In patients with artiphakia, low exact visibility - in 11 (16.41%) the cause is glaucomatous atrophy of the optic nerve, in 4 (5.97%) sclerotic arthology of the optic nerve, in 11 (16.41%) macular degeneration, diabetic retinopathy, 4 (5.97%) changes in the ravine, and also, endothelial-epithelial dystrophy, retinal detachment in 2 (2.98%). Six (8.95%) patients have different degrees of IOL dislocation. Thus, the analysis of results after a long-term period of cataract surgery against the background of PES, allows patients' complaints to be considered important: deterioration of the exact visibility and quality.

Conclusions:
1. Different potential risk factors for possible complications of cataract surgery against the background of pseudo-exfoliative syndrome should be taken into account, optimal tactics should be chosen, patients should be attracted for clinical examination, should be under dynamic supervision.
2. In cataract surgery the pace of development of a pseudo-exfoliative syndrome should be considered. Progressive dystrophic syndrome should be considered as a risk factor.
3. Taking into account the further development of pseudo-exfoliative syndrome, the optimal IOL should be selected and implanted in cataract surgery.