Surgical treatment of cataract in tuberculosis patients
Abstract
129 patients underwent surgical treatment of cataract in 2008-2013: 78 men (60,5%) and 51 women (39,5%), mean age 68,0 ± 10,1 years. Group I include 43 patients (33,3%) cured from tuberculosis; group II – 28 (21,7%) patients with post tuberculosis cataract, group III – 58 (45,0%) patients with active pulmonary tuberculosis. Two surgical methods were performed: extracapsular cataract extraction (EEC) (87 – 67,4%) and cataract phacoemulsification (FEC) (42 – 32,6%). Intraocular lens (IOL) were implanted in all cases. In group I post-FEC complications weren’t registered, after EEC two cases of keratopathy were observed (resolved by conservative treatment). In group II after EEC one case of keratopathy was obtained, complicated subsequently by epithelial-endothelial dystrophy of the cornea, and one case of intra-operative complication – expulsive bleeding. In group III after EEC two cases of keratopathy were noted, one case of IOL dislocation (anchoring was successfully performed) and one postoperative uveitis (resolved by conservative treatment).
The active tuberculosis isn’t the contraindication for surgical treatment of cataract. The difference in intraocular pressure after FEC and EEC wasn’t significant. The FEC efficacy by visus improvement was significantly higher than EEC (the mean parameter after operation 0,45 ± 0,04 vs 0,29 ± 0,02, respectively, р < 0,001). So, FEC is most preferable in tuberculosis patients.
About the Authors
M. G. Gamzaev
ГКУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
M. I. Kozlova
ГБОУ ДПО «Российская медицинская академия последипломного образования» Минздрава России
Russian Federation
Russian Federation
O. N. Zuban
ГКУЗ «Московский городской научно-практический центр борьбы с туберкулезом Департамента здравоохранения города Москвы»
Russian Federation
Russian Federation
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Review
For citations:
Gamzaev M.G., Kozlova M.I., Zuban O.N. Surgical treatment of cataract in tuberculosis patients. Tuberculosis and socially significant diseases. 2014;(3):48-51. (In Russ.)
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