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Abstract #10420 Published in IGR 6-1
Cataract surgery in patients with acute primary angle-closure glaucoma
Yoon JY; Hong YJ; Kim CYKorean Journal of Ophthalmology 2003; 17: 122-126
The authors investigated the results of cataract surgery in acute angle-closure glaucoma patients whose intraocular pressure (IOP) was not controlled with conventional treatment. They compared postoperative IOP and best corrected visual acuity (BCVA) with preoperative data in ten eyes of ten patients who had undergone cataract surgery for acute angle-closure glaucoma. Initial and preoperative mean IOP were 50.0 ± 6.4 mmHg and 34.9 ± 9.3 mmHg, respectively. Mean follow-up was 6.3 ± 5.9 months. Postoperative mean IOP was 12.0 ± 4.2 mmHg. All eyes were controlled at less than 21 mmHg and seven of them (70%) were controlled at less than 21 mmHg without medication. Postoperative BCVA was improved in nine eyes. The complications were transient IOP elevation in two eyes and exudative membrane in four. Cataract surgery may be effective to control IOP and improve visual acuity in patients with acute angle-closure glaucoma. However, follow-up is necessary because of a high incidence of postoperative complications.
Dr. J.Y. Yoon, Departament of Ophthalmology, Hallym University College of Medicine, Sacred Heart Hospital, Anyang, Kyunggi-Do, Korea
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.12 Cataract extraction (Part of: 12 Surgical treatment)