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Abstract #17591 Published in IGR 9-2
Safety and efficacy of manual small incision cataract surgery for phacolytic glaucoma
Venkatesh R; Tan CS; Kumar TT; Ravindran RDBritish Journal of Ophthalmology 2007; 91: 279-281
AIMS: To evaluate the safety, visual outcome and complications of manual small incision cataract surgery (MSICS) in the treatment of patients with phacolytic glaucoma. METHODS: In a nonrandomised interventional case series, 33 consecutive patients with phacolytic glaucoma underwent cataract extraction by MSICS, with staining of the anterior capsule by trypan blue. RESULTS: The mean preoperative intraocular pressure (IOP) was 46.2 mmHg. No significant intraoperative complications such as posterior capsule rupture or expulsive hemorrhage occurred. In 31 patients (93.9%), an intraocular lens (IOL) was implanted in the posterior chamber. In two of 33 patients (6.1%), the posterior capsule was removed and the patient was left aphakic because of severe pre-existing zonulysis. The postoperative best-corrected visual acuity was 20/60 or better in 29 cases (87.9%) and 20/40 or better in 26 patients (78.8%). The IOP was 22 mmHg or less in all 33 cases without the use of anti-glaucoma medications and the mean IOP was 15.1 mmHg (range, 7-22, SD ± 3.9). Postoperative corneal edema occurred in 11 cases (33.3%) and anterior chamber inflammation was present in nine cases (27.3%). Both conditions resolved with standard medical therapy. CONCLUSION: Manual small incision cataract surgery with trypan blue staining of the anterior capsule is a safe and effective method of cataract extraction for patients with phacolytic glaucoma.
Dr. R. Venkatesh, Aravind Eye Hospital, Thavalakuppam, Pondicherry, 605 007, India. venkatesh@pondy.aravind.org
Classification:
9.4.4.5 Other (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)
