CLINICAL OUTCOMES OF CATARACT SURGERY IN PATIENTS WITH COEXISTING OCULAR PATHOLOGIES

Аннотация

The management of cataracts in patients with pre-existing ocular diseases presents a significant clinical challenge, as concurrent pathologies may influence surgical outcomes, postoperative recovery, and long-term visual prognosis. This study analyzes the clinical outcomes of cataract surgery in patients with coexisting ocular pathologies such as glaucoma, diabetic retinopathy, age-related macular degeneration, and corneal dystrophies. A total of 220 patients underwent phacoemulsification with intraocular lens (IOL) implantation, with outcomes assessed through visual acuity improvement, intraocular pressure (IOP) control, and retinal morphology stability. Results demonstrated that while significant visual gains were achieved in most cases, postoperative complications were more frequent in patients with severe diabetic or glaucomatous changes. Early identification of comorbid ocular conditions, tailored surgical strategies, and postoperative management were found essential in achieving favorable outcomes. The findings emphasize the importance of multidisciplinary assessment and individualized treatment planning in cataract surgery for complex ocular cases.