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Abstract #13276 Published in IGR 8-1

Clinical course of primary open-angle glaucoma, normal-tension glaucoma and pseudoexfoliation glaucoma after cataract surgery

Ojima T; Tanabe T; Hangai M; Honjo M; Aikawa H; Miyawaki T; Yu S; Morishita S; Kimura T; Yoshimura N
Japanese Journal of Clinical Ophthalmology 2005; 59: 1993-1997


Cataract surgery was performed on 50 eyes of 38 patients with well-controlled glaucoma. The series comprised primary open-angle glaucoma 23 eyes, normal-tension glaucoma 19 eyes, and pseudoexfoliation glaucoma 8 eyes. Intraocular pressure (IOP) of 50 eyes averaged 15.7 mmHg. All the eyes received phacoemulsification-aspiration with intraocular lens insertion. IOP decreased transiently 3 to 6 months after surgery. IOP at the final visit, or 22.58 months after surgery, averaged 15.5 mmHg. The difference from the preoperative value was not significant. Number of topical medications averaged 1.3 before and 1.0 after surgery. The difference was significant (p < 0.0l). Visual acuity improved in all the eyes after surgery, including those with advanced glaucoma. Mean deviation (MD) by Humphrey perimetry improved after surgery (p < 0.01). The findings show that cataract surgery may be beneficial to IOP and visual function in glaucomatous eyes. LA: Japanese

Dr. T. Tanabe, Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, 54 Shogoin, Kawaracho, Kyoto 606-8507, Japan


Classification:

12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)



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