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Abstract #23623 Published in IGR 11-2
Angle configuration of acute angle-closure glaucoma after phacoemulsification and intraocular lens implantation combining with initial laser treatment
Dai W-J; Zhang J; Jiang H-Z; Bian J-J; Yang H-Q; Liu D-CInternational Journal of Ophthalmology 2009; 9: 706-709
AIM: To evaluate the angle configuration after primary phacoemulsification and intraocular lens (Phaco + IOL) implantation combining with initial laser treatment for acute angle-closure glaucoma. METHODS: Thirty-nine eyes of 37 cases with first attack of acute angle-closure glaucoma (IOP was 69.22 (plus or minus) 21.23mmHg) as well as with different extent of cataract were treated by initial laser iridoplasty and iridectomy, followed by phaco + IOL. Visual acuity, intraocular pressure (IOP), angle opening degree and appearance of iris shape of convexity were observed. RESULTS: Follow-up from 3 to 27 months, all patients had improved visual acuity. IOP of 29 eyes free from hypotensive medication was controlled to 14.90 (plus or minus) 2.19 mmHg of last four times measurement (P < 0.01). Further filter surgery was necessary in 1 case. Angle opening degree changed from 10.86 (plus or minus) 5.11 pre-laser to 46.34 (plus or minus) 13.32 postsurgery (P < 0.01). CONCLUSION: Phaco + IOL combined with initial laser treatment turned out to be safe and effective in controlling IOP, improving visual acuity, opening closed angle and improving aqueous outflow for acute angle-closure glaucoma. Initial laser intervention was effective in eliminating papillary block, deepening anterior chamber and reducing IOP, which made the following Phaco + IOL more safe and easy. LA: Chinese
W.-J. Dai. Department of Ophthalmology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China. weijia_dai@hotmail.com
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.4 Laser trabeculoplasty and other laser treatment of the angle (Part of: 12 Surgical treatment)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
