Title | Long-term Intraocular Pressure Elevation after Primary Angle Closure Treated with Early Phacoemulsification. |
Publication Type | Journal Article |
Year of Publication | 2018 |
Authors | Baek SUk, Kim KHyun, Lee JYeon, Lee KWha |
Journal | Korean J Ophthalmol |
Volume | 32 |
Issue | 2 |
Pagination | 108-115 |
Date Published | 2018 Apr |
ISSN | 2092-9382 |
Abstract | PURPOSE: To assess long-term changes in intraocular pressure (IOP) and the development of glaucoma after early phacoemulsification in acute primary angle closure. METHODS: Retrospective chart review of acute primary angle closure patients treated with phacoemulsification in attack eyes versus fellow eyes. Within a month after the angle closure attack, all subjects underwent cataract surgery and were divided into two groups: group A received cataract surgery on their attack eyes. Group B also received cataract surgery on their fellow eye after phacoemulsification of the attack eyes. Study outcomes were the prevalence of IOP rise (occurrence of IOP >21 mmHg) and the incidence of newly developed glaucoma. RESULTS: Eighty-nine eyes were included, with 62 attack eyes in group A and 27 fellow eyes in group B. Group A (14 eyes, 22.58%) had a higher cumulative rate of IOP rise than group B (3 eyes, 11.11%) at 12 months (p = 0.001). Newly developed glaucoma was not observed in group B; however, 6 patients in group A developed glaucoma during the 12-month follow-up period (p < 0.001). CONCLUSIONS: The attack eyes treated with phacoemulsification showed a significantly higher prevalence of IOP rise and newly developed glaucoma than fellow eyes that received phacoemulsification. These findings suggest that there is a possibility of IOP rise and development of glaucoma even when angle closure and successful IOP control have apparently been achieved after phacoemulsification. |
DOI | 10.3341/kjo.2017.0077 |
Alternate Journal | Korean J Ophthalmol |
PubMed ID | 29560619 |
PubMed Central ID | PMC5906395 |
Submitted by kej2006 on June 6, 2018 - 4:13pm