İNKİŞAF ETMİŞ PSEVDOEKSFOLİATİV QLAUKOMALI GÖZLƏRDƏ FAKOKANALOPLASTİKANIN UZUNMÜDDƏTLİ TƏDQİQATININ NƏTİCƏLƏRİ

Abstract

SUMMARY

Aim – to assess the safety and effcacy of phacocanaloplasty in patients with concomitant advanced pseudoexfoliation glaucoma.

Material and methods
Fifty-seven eyes of ffty-six patients underwent canaloplasty guided by Glaucolight microcatheter. All patients were followed for 48 months. Visual acuity, changes of intraocular pressure (IOP), use of glaucoma medications, incidence of complications and postsurgical interventions were examined.

Results
Mean preoperative IOP decreased signifcantly from 29.8 mmHg (15.8 - 61.6) with a mean of 1.92 (0-3) glaucoma medications to 12.9 mmHg (11.0 - 19.6) with a mean of 0.12 (0-3) respectively in 48 months. Mean preoperative visual acuity increased from 0.15 (0.01-0.8) to 0.6 (0.01-1.2) by the fnal examination. The most frequent postoperative complications included mild hyphema (37 eyes, 65%), descemet membrane perforation (4 eyes, 7%), IOP spikes (4 eyes, 7%) and infammation (4 eyes, 7%).

Conclusion
Phacocanaloplasty in eyes with concomitant advanced pseudoexfoliation glaucoma and cataract re-establishes the natural outfow system and led to a signifcant IOP reduction with minimal risk of intra and postoperative complications.