RESUMO
We evaluated the effectiveness of combined extracapsular cataract extraction(ECCE), posterior chamber intraocullar lens implantation(PCIOL) and trabeculectomy with mitomycin C in patients with coexisting cataract and glaucoma. The charts were reviewed and compared of all patients who underwent combined procedure implantation without mitomycin C(group I) or with mitomycin C(group II) between 1990 and 1994 at Siloam Eye Hospital. A total of 44 eyes were included: 27 eyes in group I and 17 in group II. Intraocular pressure was controlled successfully in 66.6% of eyes in group I (mean IOP 15.9 +/- 6.6mmHg) and in 88.2% of eyes in group II (mean IOP 13.1 +/- 4.0mmHg). Fifteen of 27 eyes(55.6%) had a best corrected visual acuity of 20/40 or better in group I and thirteen of 17 eyes(76.5%) in group n at 6 months follow up. Complications included corneal haziness, posterior capsular opacity and encapsulated or flattened bleb in group I and shallow anterior chamber, hypotony, hyphema and bleb leakage in group II. The combined procedure with adjunctive mitomycin C appears to be a safe and effective in treating patients with coexisting cataract and glaucoma.
Assuntos
Humanos , Câmara Anterior , Vesícula , Extração de Catarata , Catarata , Seguimentos , Glaucoma , Hifema , Pressão Intraocular , Mitomicina , Trabeculectomia , Acuidade VisualRESUMO
Fourty-one glaucoma triple surgeries(Group I: combined trabeculectomy, planned extracapsular cataract extraction(P-ECCE) 27 cases and Group II: phacoemulsification and posterior chamber intraocular lens(PC IOL) implantation 14 cases) were reviewed. Preoperatively, the two groups did not differ significantly in terms of age, sex, or mean intraocular pressure(IOP). As comparaed with Group I, the Group II had earlier visual rehabilitation, and less postoperative IOP spikes(P<0.05), and needed less postoperative antiglaucoma medications. Other postoperative complications occurred more commonly in the Group I: fibrinous iritis, posterior capsular opacity, encapsulated or flattened bleb, uncontrolled IOP etc. Compared to group II, these differences probably are attitutable primarily to the small incision used in phacoemulsification, which is associated with sustained anterior chamber depth during the operation, and to the reduction of tissue dissection, reducing the stimulus to wound healing and filtration failure.
Assuntos
Humanos , Câmara Anterior , Vesícula , Extração de Catarata , Catarata , Fibrina , Filtração , Glaucoma , Irite , Facoemulsificação , Complicações Pós-Operatórias , Reabilitação , Trabeculectomia , CicatrizaçãoRESUMO
Aniridia is a congenital, often hereditary, usually bilateral absence of iris in whole or in part. And aniridia occurs mainly as an autosomal dominant condition with almost complete penetrance. In the usual phenotype, aniridia is associated with nystagmus, foveal and optic nerve hypoplasia, corneal pannus, cataract, secondary glaucoma and strabismus. The author experienced 4 cases of aniridia in a family for three generations. So the author reports these cases with the review of literathure.
Assuntos
Humanos , Aniridia , Opacificação da Cápsula , Características da Família , Glaucoma , Iris , Nervo Óptico , Penetrância , Fenótipo , EstrabismoRESUMO
The authors have recently experienced with a five years old female patient who had a cysticercosis under the superio-nasal bulbar conjunctiva. The case was not associated with any other systemic lesions elsewhere in the body. The cyst was surgically removed and the microscopic examination confirmed a well preserved cysticercus cellulosae. According to the previous reports, the cysticercosis occurs frequently in the ocular region. Although ocular cysticercosis is common, subconjunctival cysticercosis rarely been reported in Korea. A brief medical history of case and a review of the related reports are presented.