advertisement
Abstract #12197 Published in IGR 7-2
Outcome of phacoemulsification and intraocular lens implantation for acute angle-closure glaucoma
Ieki Y; Miura S; Suzuki M; Tanaka YJapanese Journal of Clinical Ophthalmology 2005; 59: 289-293
We performed phacoemulsification and intraocular lens (IOL) implantation as the primary procedure for acute angle-closure glaucoma in 23 eyes of 21 patients. The series comprised 2 eyes of 2 males and 21 eyes of 19 females. Their ages averaged 67.6 ± 8.9 years. The axial length averaged 22.1 ± 0.9 mm. The initial intraocular pressure (IOP) ranged from 24 to 70 mmHg, average 48.7 mmHg. The duration of surgery averaged 24.6 minutes. Additional core vitrectomy was performed in 3 eyes. There was no intraoperative complication except one eye in which IOL was not implanted due to ruptured zonule. IOP on next day of surgery ranged from 8 to 26 mmHg average 14.8 mmHg. Additional glaucoma surgery had to be performed in one eye only. Final IOP averaged 14.0 mmHg. Two eyes were using topical antiglaucoma medication. Visual acuity improved in 18 eyes (78%) and remained unchanged in 5 eyes (22%). No case developed bullous keratopathy during the period of observation. The findings show that phacoemulsification with IOL implantation is safe and effective for acute angle-closure glaucoma. LA: Japanese
Dr. Y. Ieki, Department of Ophthalmology, Wakayama Medical Center, Japanese Red Cross Society, 4-20 Komatsubara, Wakayama 640-8558, Japan
Classification:
9.3.1 Acute 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)
