Publishing House SB RAS:

Publishing House SB RAS:

Address of the Publishing House SB RAS:
Morskoy pr. 2, 630090 Novosibirsk, Russia



Advanced Search

Siberian Scientific Medical Journal

2019 year, number 3

FEMTOLASER-ASSISTANCE OPPORTUNITIES IN THE SURGICAL TREATMENT OF CATARACT ASSOCIATED WITH GLAUCOMA AND PSEUDOEXFOLIATIVE SYNDROME

Benta Gayozovna DZHASHI, Sergey Viktorovich BALALIN
S. Fyodorov Eye Microsurgery Federal State Institution of Minzdrav of Russia, Volgograd Branch
Keywords: катаракта, факоэмульсификация, фемтолазер-ассистированная факоэмульсификация, глаукома, псевдоэксфолиативный синдром, cataract, phacoemulsification, femtolaser assistance, glaucoma, pseudoexfoliative syndrome

Abstract

Cataract surgery in eyes with glaucoma requires the most gentle manipulation during the operation including capsulorhexis and phacofragmentation. Femtolaser assistance at various stages of cataract phacoemulsification is aimed at minimizing surgical trauma. Aim of the sudy was to analyze the postoperative reactions after phacoemulsification and femtolaser-assisted phacoemulsification (FLACS) of the cataract in eyes with pseudoexfoliating glaucoma. Material and methods. Two groups of patients (30 eyes) were operated and examined (I-phacoemulsification, II-femtolaser-assisted phacoemulsification). In all cases phacodonesis was found. Results. Noted that phacoemulsification without the use of the femtolaser assistance demanded a longer intervention with large expenditure of energy ( p < 0.05). On the first day after surgery in the first group (phacoemulsification), 9 cases (66.7 %) of corneal reaction were detected. In the second group, there were 5 cases (33.3 %) of a corneal postoperative reaction that was stopped during the day. Conclusion. It has been shown that femtolaser assistance in cases of cataract associated with glaucoma and pseudoexfoliative syndrome reduced operation time, amount of ultrasonic energy expended, number of postoperative corneal reactions.