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Abstract #25754 Published in IGR 12-2
Long-term therapeutic efficacy of phacoemulsification with intraocular lens implantation in patients with phacomorphic glaucoma
Lee SJ; Lee CK; Kim W-SJournal of Cataract and Refractive Surgery 2010; 36: 783-789
Purpose: To evaluate the long-term therapeutic efficacy of phacoemulsification with intraocular lens (IOL) implantation in treating phacomorphic glaucoma. Setting: Ophthalmology Department, Maryknoll Hospital, Busan, Korea. Methods: This study evaluated eyes that had phacoemulsification with IOL implantation to treat phacomorphic glaucoma. Intraocular pressure (IOP), corrected distance visual acuity (CDVA), and anterior chamber depth (ACD) were measured preoperatively and postoperatively. The minimum follow-up was 48 months. Results: The mean IOP in the 26 eyes was 49.0 mm Hg (plus or minus) 10.4 (SD) (range 31 to 70 mm Hg) preoperatively and 13.2 (plus or minus) 2.8 mm Hg (range 8 to 20 mm Hg) 48 months postoperatively (P<.0001, paired t test). No eye had increased IOP over the follow-up. The postoperative IOP was significantly lower 1 day postoperatively (P<.000, paired t test). The improvement in CDVA was statistically significant from 1 week postoperatively (P<.0001, paired t test). The CDVA improved postoperatively except in 1 eye with a preoperative acuity of no light perception. The CDVA was 20/50 or better in 16 eyes (61.5%). Preoperatively, the ACD was shallow (mean 1.5 (plus or minus) 0.3 mm) because of the swollen lens; the mean postoperative ACD was 2.6 (plus or minus) 0.1 mm; the increase was statistically significant. The mean preoperative ratio of lens thickness to axial length was 0.25 (plus or minus) 0.01, indicating a shallow ACD. In 1 eye, peripheral anterior synechias were seen on gonioscopy immediately after surgery; the eye required continuous postoperative medication for IOP control. Conclusion: Phacoemulsification with IOL implantation was effective in treating phacomorphic glaucoma.
W.-S. Kim. Departments of Ophthalmology, Maryknoll Hospital, Haeundae Paik Hospital, Busan, South Korea. wansookim@yahoo.com
Classification:
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
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)
