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Abstract #3531 Published in IGR 4-2
Results of phacoemulsification and intraocular lens implantation for closed-angle glaucoma
Toguri I; Matsuura T; Kubota T; Onizuka NJapanese Journal of Clinical Ophthalmology 2002; 56: 608-612
The authors performed phacoemulsification and intraocular lens (IOL) implantation for cataract and/or uncontrolled intraocular pressure (IOP) in eyes with closed-angle glaucoma. The series comprised 19 eyes of 16 patients. Laser iridotomy had earlier been performed in 18 eyes and peripheral iridectomy in one eye. The eyes were followed up for three to 36 months, average 7.1 ± 12.9 months. IOL ranged from 7-38 mmHg, average 16.7 ± 8.1 mmHg, before surgery, and from 7-19 mmHg, average 13.8 ± 3.4 mmHg, three months after surgery. IOL was thus controlled below 20 mmHg in all eyes. Visual acuity improved by two or more lines in 18 eyes (95%). No case was seen with decreased visual acuity. The corneal endothelial cells averaged 2420 ± 508/mm2 before surgery and decreased by 18.4 ± 17.9% to 1942 ± 652/mm2 after surgery. These findings show that phacoemulsification with IOL implantation is effective for closed-angle glaucoma and cataract after release of the pupillary block. LA: Japanese
Dr. I. Toguri, Department of Ophthalmology, National Nagasaki Medical Center, 2-1001-1 Kubara Omura-shi, Nagasaki-ken 856-8562, Japan
Classification:
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)
