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Abstract #13611 Published in IGR 8-2
Outcome of phacoemulsification-aspiration with core vitrectomy for acute angle-closure glaucoma
Ieki Y; Tanaka YJapanese Journal of Clinical Ophthalmology 2006; 60: 335-339
PURPOSE: To evaluate the outcome of surgery for acute angle-closure glaucoma by phacoemulsification-aspiration (PEA) with or without core vitrectomy. CASES: This retrospective study comprised 34 eyes received PEA for acute angle-closure glaucoma. Six eyes received PEA with core vitrectomy and 28 eyes received PEA alone. RESULTS: There was no difference in intraocular pressure (IOP) prior to surgery. Final IOP was lower in eyes receiving additional core vitrectomy (p = 0.04). Out of 28 eyes treated by PEA alone, intracapsular lens extraction had to be performed in one eye, additional glaucoma surgery in two eyes, topical antiglaucoma medication in two eyes, and postoperative population of corneal endothelial cells decreased below 1,500 cells/mm2 in four eyes. CONCLUSION: PEA with core vitrectomy resulted in lesser intraoperative complications, in better IOP control, and less damage to corneal endothelial cells. This surgical modality is recommended for acute angle-closure glaucoma, particularly in high-risk eyes manifesting corneal edema or shallow anterior chamber. LA: Japanese
Dr. Y. Ieki, Department of Ophthalmology, Kawasaki Medical School, 577 Matsushima, Kurashiki 701-0192, Japan
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
12.16 Vitrectomy (Part of: 12 Surgical treatment)
