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. 2000 Mar;16(1):22-8.

New management of angle-closure glaucoma by phacoemulsification with foldable posterior chamber intraocular lens implantation

J Ge  1 , Y Guo, Y Liu, M Lin, Y Zhuo, B Chen, X Chen
Affiliations
  • PMID: 12579724

New management of angle-closure glaucoma by phacoemulsification with foldable posterior chamber intraocular lens implantation

J Ge et al. Yan Ke Xue Bao. 2000 Mar.

Abstract

Objective: To investigate the management of angle-closure glaucoma by phacoemulsification with foldable posterior chamber intraocular lens (PC-IOL) implantation.

Design: Retrospective, noncontrolled interventional case series.

Participants: In 36 eyes with angle-closure glaucoma (ACG), there were 18 eyes with primary acute angle-closure glaucoma (PACG), 14 eyes with primary chronic angle-closure glaucoma (PCCG), 3 eyes with secondary acute angle-closure glaucoma (SACG) and 1 eye with secondary chronic angle-closure glaucoma (SCCG).

Intervention: Phacoemulsification with posterior chamber intraocular lens implantation.

Main outcome measures: Postoperative visual acuity, IOP, axial anterior chamber depth.

Results: After a mean postoperative follow-up time of 8.81 +/- 7.45 months, intraocular pressure was reduced from a preoperative mean of 23.81 +/- 17.84 mmHg to a postoperative mean of 12.54 +/- 4.73 mmHg (P = 0.001). Mean anterior chamber depth was 1.75 +/- 0.48 mm preoperatively and 2.29 +/- 0.38 mm postoperatively (P = 0.000). Best spectacle-corrected visual acuity in 36 eyes ranged from 0.01 to 0.7 (20/200 to 20/30) postoperatively, which was better than preoperative VA ranging from hand movement to 0.4 (20/50) (P = 0.000).

Conclusion: Phacoemulsification with posterior chamber foldable intraocular lens implantation can be a good alternative in treating angle-closure glaucoma.

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