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Abstract #24438 Published in IGR 11-3
Clinical study of phacoemulsification and gonioplasty in management of primary angle closure glaucoma
Peng X-L; Zhao CInternational Journal of Ophthalmology 2009; 9: 1151-1152
AIM: To evaluate the clinical effect of phacoemulsification with posterior chamber intraocular lens implantation and gonioplasty in management of patients with primary angle closure glaucoma (PACG) and cataract. METHODS: Phacoemulsification with posterior chamber intraocular lens implantation and gonioplasty was performed on 35 cases (35 eyes) with PACG and cataract, including 28 cases with acute PACG, 7 cases with chronic PACG, and the time of postoperative follow-up was 6 months. RESULTS: The intraocular pressure was reduced from a preoperative mean of 23.2 ± 3.6 mmHg to a postoperative mean of 14.6 ± 2.3 mmHg (P < 0.05). The mean anterior chamber depth was 1.64 ± 0.32 mm preoperatively and 3.16 ± 0.53 mm postoperatively (P < 0.05). The best corrected visual acuity was improved in 32 of 35 eyes (91%). CONCLUSION: Phacoemulsification with posterior chamber intraocular lens implantation and gonioplasty can be a good alternative in treating PACG with cataract. LA: Chinese
Dr. X.-L. Peng, Department of Ophthalmology, Nanchang University, Nanchang 330003, Jiangxi Province, China. theheartofrain@163.com
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)