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Purpose. To demonstrate the effectiveness of combined phacoemulsification of cataracts and antiglaucomatous surgery in cases of weakened zonular apparatus of the lens using the optic capture technology. Material and methods. The study included 24 eyes (24 patients) with complicated cataracts and primary open-angle glaucoma: stage 1–4 eyes (16.6 %), stage 2 – 10 eyes (41.6 %), stage 3–10 eyes (41.6 %). All patients had a concomitant condition – pseudoexfoliation syndrome with pronounced zonular weakness. The study involved 10 males and 12 females, with a mean age of 73 ± 5.7 years. Preoperative assessments showed Visual acuity 0.25 ± 0.15, IOP – 26.78 ± 7.26 mmHg, number of drops 3.04 ± 0.45, axial length – 23.88 ± 1.04 mm. All patients underwent a combined surgery: phacoemulsification of cataracts using the optic capture technology and non-penetrating deep sclerectomy with Healaflow drainage. Results. One year later, Visual acuity was 0.6 ± 0.21, IOP was 16.90 ± 3.25 mmHg without hypotensive therapy. According to OCT results, no signs of glaucoma progression were detected in the optic nerve disc and nerve fiber layer. Throughout the observation period, the intraocular lens remained in the correct position, with pronounced intrascleral space and preservation of surgically created pathways for intraocular fluid outflow. Conclusion.The combined surgery for glaucoma and cataracts in patients with lens subluxation, using the optic capture technique and non-penetrating deep sclerectomy, allowed for maintaining the correct and stable position of the intraocular lens (IOL) with normalization of intraocular pressure without the use of hypotensive therapy throughout the observation period. Keywords: one-stage surgery, primary angle-closure glaucoma complicated by cataract, optic capture
Sorokoletov et al. (Tue,) studied this question.