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Abstract #6524 Published in IGR 3-2
The efficacy and safety of combined phacoemulsification, intraocular lens implantation, and limited goniosynechialysis, followed by diode laser peripheral iridoplasty, in the treatment of cataract and chronic angle-closure glaucoma
Lai JSM; Tham CCY; Lam DSCJournal of Glaucoma 2001; 10: 309-315
PURPOSE: To report the efficacy and safety of combined phacoemulsification, intraocular lens implantation, and limited goniosynechialysis, followed by diode laser peripheral iridoplasty, in the treatment of cataract and chronic angle-closure glaucoma. METHODS: Patients with chronic angle-closure glaucoma with total synechial angle closure and intraocular pressures higher than 21 mmHg on maximally tolerated medications, and concurrent cataract, underwent phacoemulsification with posterior chamber intraocular lens implantation and goniosynechialysis followed by diode laser peripheral iridoplasty to the inferior half of the angle. Intraoperative complications, postoperative visual acuity, intraocular pressure (IOP), and complications, were evaluated. RESULTS: Seven eyes of seven patients underwent the operation, and the mean follow-up was 8.9 months (range, 2-16 months). The mean preoperative IOP was 33.0 ± 2.9 mmHg. The absolute success rate (IOP of less than 21 mmHg without medication) was 100%. The visual acuity of all eyes improved by more than two Snellen lines. Postoperative complications included IOP spike, hyphenia, and transient corneal decompensation. CONCLUSIONS: It appears that phacoemulsification with intraocular lens implantation combined with inferior 180° goniosynechialysis followed by diode laser peripheral iridoplasty is an effective and safe surgical procedure for treating chronic angle-closure glaucoma with total synechial angle closure and cataract.
Dr J.S.M. Lai, Department of Ophthalmology, United Christian Hospital, Kwun Tong, Kowloon, Hong Kong. jsmlai@netvigator.com
Classification:
12.3 Laser iridoplasty (Part of: 12 Surgical treatment)
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
