Article Sidebar
Views PDF: 194
RESEARCH OF PRESSURE AFTER PHACO SURGICAL IN PATENTS WITH PRIMARY ANGLE-CLOSURE GLAUCOMA IN HA DONG EYE HOSPITAL
Main Article Content
Abstract
Purpose: To study the change of intraocular pressure after PHACO surgery in patients with primary angle-closure glaucoma in Ha Dong Eye Hospital. Subjects and methods: A prospective clinical intervention study was carried out at the General Department, Ha Dong Eye Hospital from August 2022 to August 2023. The study subjects were patients diagnosed with primary angle-closure glaucoma that matched the selection criteria. Results: Studying in 42 eyes on 32 patients, the number of female patients was 26, accounting for 81.25% and 6 male patients (18.75%). The average age of the study subjects was 70.55 ± 8.28, with the majority being over 60 years old (95.2%). Out of the 42 eyes studied, 36 eyes did not require additional intraocular pressure medication (85.71%), while the remaining 6 eyes required additional intraocular pressure medication and no further surgical was performed during follow-up. After surgery, visual acuity increased on average 0.26 ± 0.17 (p<0.01). The parameters of anterior chamber were also significantly improved: The central anterior chamber depth increased from 2.14 ± 0.32 mm to 3.42 ± 0.32 mm, the mean angle opening measured before surgery from 11.25 ± 3.52° increased to 35.68 ± 1. 3.17°. Postoperative complications are usually mild, such as corneal edema accounting for 7/42 (16.67%), only 1 case had posterior capsule break during surgery. Conclusions: Cases of primary angle-closure glaucoma are treated by phaco in place to achieve stable low intraocular pressure with a high success rate, safety, and good anatomical and function results.
Article Details
Keywords
Primary closed angle glaucoma, phaco
References
2. Foster PJ, Alsbirk PH, Baasanhu J, Munkhbayar D, Uranchimeg D, Johnson GJ. Anterior chamber depth in Mongolians: variation with age, sex, and method of measurement. Am J Ophthalmol. 1997;124(1):53-60.
3. Hayashi K, Hayashi H, Nakao F, Hayashi F. Changes in anterior chamber angle width and depth after intraocular lens implantation in eyes with glaucoma. Ophthalmology. 2000;107(4):698-703.
4. He Y, Zhang R, Zhang C, et al. Clinical outcome of phacoemulsification combined with intraocular lens implantation for primary angle closure/glaucoma (PAC/PACG) with cataract. Am J Transl Res. 2021;13(12):13498-13507.
5. Moghimi S, Hashemian H, Chen R, Johari M, Mohammadi M, Lin SC. Early phacoemulsification in patients with acute primary angle closure. Journal of Current Ophthalmology. 2015;27(3-4):70-75.
6. Shingleton BJ, Gamell LS, O’Donoghue MW, Baylus SL, King R. Long-term changes in intraocular pressure after clear corneal phacoemulsification: normal patients versus glaucoma suspect and glaucoma patients. J Cataract Refract Surg. 1999;25(7):885-890.
7. Yan C, Han Y, Yu Y, et al. Effects of lens extraction versus laser peripheral iridotomy on anterior segment morphology in primary angle closure suspect. Graefes Arch Clin Exp Ophthalmol. 2019;257(7):1473-1480.