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Abstract #12752 Published in IGR 7-3
Phacoemulsification for close angle glaucoma
Zeng X-B; Chang F; Xie J-X; Xie X-HInternational Journal of Ophthalmology 2005; 5: 547-548
AIM: To evaluate the effects of cataract phacoemulsification combined with intraocular (IOL) implantation in treating close angle glaucoma. METHODS: Phacoemusification and IOP implantation were performed on 31 eyes (27 cases) with a preexisting filtration bleb, and the preoperative intraocular pressure (IOP) had been decreased to 21-50 mmHg with medication. The patients included 3 cases of secondary glaucoma induced by senile cataract, 15 cases with transparent lens, 11 eyes with lens turbidity of various degrees, and 5 eyes of partial iris atrophy. The postoperative IOP, visual acuity, anterior chamber depth were followed-up for above 1a. RESULTS: Visual acuities in all the 31 eyes were improved postoperatively, and the IOP became normal (12-20 mmHg). Chronical close angle glaucoma occurred in 1 case at postoperative 8mo, and was controlled with trabeculectomy and anterior vitreous body incision. CONCLUSION: Phacoemulsification can deepen the anterior chamber, open the chamber angle and control the IOP without complications of trabeculectomy for glaucoma. It is the primary choice for certain close angle glaucoma. LA: Chinese
Dr. X.-B. Zeng, Department of Ophthalmology, Second TCM and Western Medicine Combination Hospital of Wuhan City, Wuhan 430079 Hubei Province, China
Classification:
9.3 Primary angle closure glaucomas (Part of: 9 Clinical forms of glaucomas)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)