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Abstract #21461 Published in IGR 10-3
Pentacam anterior segment analysis system in evaluating the efficacy of phacoemulsification for angle-closure glaucoma
Zhang Y-Q; Wang Y-L; Sheng Y-H; Tian L-LAcademic Journal of Second Military Medical University 2008; 29: 659-662
OBJECTIVE: To observe the changes in the anatomy of anterior segment before and after phacoemulsification for treatment of angle-closure glaucoma by Pentacam system, so as to assess the efficacy of phacoemulsification combined with artificial lens implantation (ALI) in treatment of early- and middle-stage angle-closure glaucoma. METHODS: Forty-two patients with early- and middle-stage angle-closure glaucoma (44 eyes) were included in the present study. The central anterior chamber depth, anterior chamber volume and peripheral anterior chamber angle were examined by Pentacam system pre-operatively and 1 day, 1 week and 3 months post operatively. Meanwhile, A ultrasound was used to examine the anterior chamber depth before and 3 months after operation, and the results were compared with those by Pentacam system. RESULTS: Pentacam system could clearly demonstrate the 3-dimensional structures of the anterior eye segment before and after operation. The central anterior chamber depth, anterior chamber volume and anterior chamber angle were increased significantly after operation (P < 0.01); the intraocular pressure was significantly decreased (P < 0.01); and the visual acuity was improved (P < 0.01). The values of central anterior chamber depth and the dispersion coefficient obtained by Pentacam were smaller than those by A ultrasound. CONCLUSION: Pentacam system can directly demonstrate the increase of anterior chamber depth, anterior chamber volume, and anterior chamber angle after phacoemulsification combined with ALI in treatment of early- and middle-stage angle-closure glaucoma. It is a safe method for early examination after operation. LA: Chinese
Dr, Y.-H. Sheng, Department of Ophthalmology, Xinhua Hospital, Shanghai Jiaotong University, Shanghai 200092, China. xheyectr@sh163.net
Classification:
6.8.1 Anterior segment (Part of: 6 Clinical examination methods > 6.8 Photography)
9.3.2 Chronic 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)
