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Abstract #9834 Published in IGR 5-3
Long-term outcome of cataract surgery for primary angle-closure glaucoma
Satoh S; Shimokawa R; Tsuta HJapanese Journal of Clinical Ophthalmology 2003; 57: 1627-1631
The authors reviewed 40 eyes of 30 patients who received phacoemulsification-aspiration (PEA) with intraocular lens (IOL) implantation for primary angle-closure glaucoma over a six-year period. Glaucoma surgery, including laser, had been performed on 29 eyes. The 40 eyes fell into three groups. Group A comprised 23 eyes without history of acute attack; group B eight eyes with past acute attack; group C nine eyes during acute attack. During the follow-up of from one to six years (average 41 months) intraocular pressure (IOP) averaged below 20 mmHg in each of the three groups. At the last follow-up, six eyes in group A and two eyes in group B needed monotherapy. Of 33 eyes with peripheral anterior synechia (PAS) involving less than two quadrants, 28 (85%) needed no medication. The visual acuity improved by two lines or more in 37 eyes (93%). The corneal endothelial cells decreased more in eyes of chronic angle-closure glaucoma and in those receiving iris retractor during surgery. The current surgical modality induced IOP contol with reduced or no medication in eyes during acute attack or in eyes of medically controlled chronic angle-closure glaucoma with PAS involving less than two quadrants. LA: Japanese
Dr. S. Satoh, Department of Ophthalmology, Ohdate Municipal Hospital, 3-1 Yutaka-cho, Ohdate-shi 017-0885, Japan
Classification:
9.3 Primary angle closure glaucomas (Part of: 9 Clinical forms of glaucomas)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
