The Siberian Scientific Medical Journal
 
 
№ 3 / 2019 / 35-38
DOI 10.15372/SSMJ20190305

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

Author Affiliations

Abstract

Сataract 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

Key words

cataract, phacoemulsification, femtolaser assistance, glaucoma, pseudoexfoliative syndrome
References
About Authors (Correspondence):

Balalin S.V. – doctor of medical sciences, head of sciences department, e-mail: s.v.balalin@gmail.com

Full Text

Received: 13/06/2019
Accepted: 13/06/2019