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. 2019 Jun 18;12(6):974-979.
doi: 10.18240/ijo.2019.06.15. eCollection 2019.

Combined treatment of phacoemulsification and single-port limited pars plana vitrectomy in acute angle-closure glaucoma

Ha Jeong Noh  1 , Seong Taeck Kim  1
Affiliations

Combined treatment of phacoemulsification and single-port limited pars plana vitrectomy in acute angle-closure glaucoma

Ha Jeong Noh et al. Int J Ophthalmol. .

Abstract

Aim: To evaluate the efficacy of combined treatment of phacoemulsification (PE) and micro-incisional single-port transconjunctival limited pars plana vitrectomy (PPV) in acute angle-closure glaucoma (AACG).

Methods: A retrospective study included 26 patients who underwent PE diagnosed with AACG. Among them, 16 patients (16 eyes) underwent PE alone, 10 patients (10 eyes) underwent combined limited vitrectomy and PE. Then we compared intraocular pressure (IOP), anterior chamber angle, anterior chamber depth, central corneal thickness and corneal endothelial cell count before and after surgery, and effective PE time during cataract surgery.

Results: Effective PE time was shorter in the combined surgery group than in the single surgery group (P=0.040). There was no statistically significant difference in IOP and best-corrected visual acuity between the two groups postoperatively. At 6mo postoperatively, there was no difference in the anterior chamber angle, anterior chamber depth, and central corneal thickness between two groups, but corneal endothelial cell count was higher in the combined surgery group than in the single surgery group (P=0.046). No complication such as vitreoretinal disease, endophthalmitis, bullous keratopathy was noted.

Conclusion: Combined micro-incisional single-port transconjunctival limited PPV and PE are more effective and safer than PE alone because of less operation time and fewer complications for management of AACG.

Keywords: acute angle-closure glaucoma; limited vitrectomy; phacoemulsification.

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Figures

Figure 1
Figure 1. Effective phacoemulsification (PE) time between PE and combined pars plana vitrectomy and phacoemulsification (PPV+PE)
Effective PE time was shorter in the PPV+PE than in the PE (P=0.040).
Figure 2
Figure 2. Postoperative intraocular pressure between phacoemulsification (PE) and combined pars plana vitrectomy and phacoemulsification (PPV+PE)
There was no significant difference between two groups (by Mann-Whitney U-test).
Figure 3
Figure 3. Postoperative best-corrected visual acuity between phacoemulsification (PE) and combined pars plana vitrectomy and phacoemulsification (PPV+PE)
There was no significant difference between two groups (by Mann-Whitney U-test).
See this image and copyright information in PMC

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