[Evaluation of various methods effectiveness for aphakia correction in patients with myopic refraction and glaucoma]

Abstract

The efficiency of various methods for correcting postoperative aphakia was evaluated in 113 patients (118 eyes) with medium and high myopia and glaucoma. In group 1 (44 eyes) extraocular correction of aphakia was planned after cataract extraction, in group 2 (33 eyes) intraocular lenses were implanted, in group 3 (21 eyes) combined interventions were performed (cataract extraction with antiglaucoma component), and in group 4 (20 eyes) cataract extraction was performed simultaneously with sinusotrabeculectomy and intraocular correction of aphakia. The number of patients with visual acuity higher than 0.1 was significantly more in groups 2 and 4 after implantation of intraocular lenses than in groups 1 and 3, who needed extraocular correction of aphakia: 59.1% in group 1, 42.9% in group 3, 78.8% in group 2, and 60% in group 4. Intraocular correction of aphakia in patients with glaucoma and myopia helps attain the maximum possible visual acuity even in patients with far-advanced stages of the disease with residual visual field. Individual approach to estimation of optic force of implanted intraocular lens helps reduce the myopic refraction of the operated eye.