Nd:YAG 1.44 μm laser cataract extraction and intraocular lens implantation in eyes with coexisting primary open-angle glaucoma
https://doi.org/10.25700/NJG.2020.04.06
Abstract
PURPOSE: To evaluate the efficacy and safety of the Nd:YAG 1.44 μm laser cataract extraction and intraocular lens implantation in eyes with coexisting primary openangle glaucoma.
MATERIALS AND METHODS: 137 glaucomatous eyes had Nd:YAG laser cataract extraction surgery (study group) or ultrasound phacoemulsification (control group). Intraocular pressure and visual functions were evaluated postoperatively.
RESULTS: Among patients with primary open-angle glaucoma, the number of cases of early ocular hypertension was less after laser cataract extraction (23.5% of eyes) than the number of cases of ocular hypertension after conventional phacoemulsification (40.0%, p<0.05). Furthermore, patients with primary open-angle glaucoma after laser cataract extraction had a better response to the intraocular pressure lowering therapy and shorter visual recovery period compared with those who had phacoemulsification.
CONCLUSION: Laser cataract extraction (Nd:YAG, 1.44 μm) is a safe and preferable method for cataract surgery in glaucomatous eyes.
About the Author
A. A. Ginoyan
Medelect clinic
Russian Federation
Russian Federation
M.D., Head of the Ophthalmology Department
2-5 Spartakovskiy pereulok, Moscow, 105082
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Review
For citations:
Ginoyan A.A. Nd:YAG 1.44 μm laser cataract extraction and intraocular lens implantation in eyes with coexisting primary open-angle glaucoma. National Journal glaucoma. 2020;19(4):49-57. (In Russ.) https://doi.org/10.25700/NJG.2020.04.06
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