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Abstract #15819 Published in IGR 2-3
Secondary glaucoma associated with crystalline lens subluxation
Inatani M; Tanihara H; Honjo M; Kido N; Honda YJournal of Cataract and Refractive Surgery 2000; 26: 1533-1536
To elucidate the clinical characteristics of secondary glaucoma associated with subluxation of the crystalline lens. This retrospective study comprised 14 eyes of 13 patients with uncontrolled intraocular pressure (IOP) and lens subluxation. The subluxated lens was extracted through surgery. Angle closure caused by the subluxated lens was complicated in three eyes. In the remaining 11 eyes, uncontrolled IOP elevation was found despite the presence of deep anterior chambers and wide open angles. A mean of 14.1 months ± 13.7 (SD) after cataract surgery, IOP was well controlled (lower than 21 mmHg) in all 14 eyes. Mean IOP was 15.4 ± 2.2 mmHg at the final examination. Complications included transient vitreous hemorrhage in five eyes, choroidal detachment in two eyes, and retinal tears in one eye. Lens extraction surgery was effective in controlling IOP in eyes with secondary glaucoma associated with lens subluxation.
Dr. M. Inatani, Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan
Classification:
9.4.4.3 Glaucomas associated with lens dislocation (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)