Early Phacoemulsification After Acute Angle Closure in Patients With Coexisting Cataract

Journal of Glaucoma
Hellen C S RömkensCarroll A B Webers

Abstract

The purpose of this study is to evaluate the effect of early phacoemulsification on the management of acute angle closure glaucoma in patients with coexisting cataract after initial treatment with medical therapy and laser peripheral iridotomy. This study involved a retrospective analysis of patients presenting to the Maastricht University Medical Center+ with acute angle closure and coexisting cataract between 2005 and 2015. Patients were included after initial treatment with a standard protocol comprising topical and systemic medical therapy and laser peripheral iridotomy. Patients underwent small-incision phacoemulsification with intraocular lens implantation into the capsular bag by experienced surgeons within 3 months of the acute angle closure episode. The effect on intraocular pressure, number of glaucoma medications, visual acuity, and complications was assessed. A total 35 patients were included in the study (mean age, 71±10 y; 20% male; mean refractive error, +1.6±1.8 diopters). The mean duration between acute angle closure episode and phacoemulsification was 37±22 days. There were no complications. Intraocular pressure decreased in all patients from 17.0±8.2 mm Hg to 13.2±3.9 mm Hg after 3 months (P=0.008), whereas t...Continue Reading

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Citations

Oct 13, 2018·Journal of Glaucoma·Hellen C S RömkensCarroll A B Webers
Mar 19, 2019·Journal of Glaucoma·Mandabi SenguptaMayuri Borgohain
Mar 19, 2019·Journal of Glaucoma·Hellen C S RömkensCarroll A B Webers

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