[One-stage extracapsular cataract extraction with sinusotrabeculotomy in patients with combined glaucoma and cataract]. / Odnomomentnaia ékstrakapsuliarnaia ékstraktsiia katarakty s sinusotrabekulotomiei u bol'nykh glaukomoi, sochetaiushcheisia s kataraktoi.

The paper deals with the question about surgical treatment of patients with glaucoma associated with cataract. A new technique of one-stage extracapsular cataract extraction with sinusotrabeculotomy is proposed. Its main point is a change in the sequence of stages: stage I--opening of anterior lens capsule, stage II--antiglaucomatous operation, stage III--extraction of lenticular nucleus and masses through a corneal incision. The operation was made in 30 patients (31 ages). The follow-up period was 2 years. Normalization of intraocular pressure was achieved in all patients, in one eye--miotics had to be used. All patients showed a rise of visual functions: in 21 of 31 eyes vision rose to 0.3 and higher. In one patient vision fell after a year because of progression of the glaucomatous process in the presence of normal intraocular pressure. One-stage extracapsular cataract extraction with sinusotrabeculotomy can be made at any stage of glaucoma. By the authors' data, contraindications can be a rise of intraocular pressure above 40.0 mm Hg as well as the presence of a single eye and severe course of hypertonic disease.

[A comparative assessment of the effectiveness of sinusotrabeculotomy in different stages of open-angle glaucoma]. / Sravnitel'naia otsenka éffektivnosti sinusotrabekulotomii pri razlichnykh stadiiakh otkrytougol'noi glaukomy.

The paper analyses immediate and remote (to 4.5 years) results after sinusotrabeculotomy in 233 patients (244 eyes) with open-angle glaucoma. Among 244 eyes, 93 had initial, 87--advanced, and 64--far-advanced stages of glaucoma. It is recorded that such postoperative complications, as detachment of the choroid and hypotony, appear rarer in initial (12.5% and 15.0%, respectively), than in far-advanced (18.7% and 20.3%, respectively) stage of glaucoma. In remote terms after operation, the incidence of visual acuity and visual field preservation is higher in initial (92.5% and 95.7%, respectively), than in advanced (78.2% and 87.4%), and, in particular, far-advanced (70.3% and 79.7%) stages of the disease. After surgery at initial stage of glaucoma, restoration of tonographic values is more expressed (C = 0.24 +/- 0.004, F = 2.1 +/- 0.03), than at advanced (C = 0.23 +/- 0.007, F = 1.8 +/- 0.06) and far-advanced (C = 0.19 +/- 0.005, F = 1.1 +/- 0.04) stages. It is emphasized that in order to achieve the highest effectiveness of surgical treatment at the initial stage of open-angle glaucoma, the ophthalmic surgeon should be highly skilled in this field of surgical treatment of such patients.