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Abstract #6133 Published in IGR 2-2
Extracapsular cataract extraction with posterior chamber lens implantation in capsular glaucoma
Arici MK; Topalkara A; Demircan S; Erdogan H; Gueler COphthalmologica 2000; 214: 260-263
PURPOSE: To evaluate intraocular pressure (IOP) control after extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens (PCIOL) implantation in patients with capsular glaucoma (CG) and coexisting cataract. METHODS: This prospective study included 20 patients (20 eyes) with CG and cataract whose IOPs were under 22 mmHg and controlled with antiglaucoma medication. All patients had ECCE with PCIOL implantation with a follow-up period of at least 18 months. IOP was measured postoperatively at three, six, nine, 12 and 18 months and compared with preoperative IOP. RESULTS: Following the cataract extraction, PCIOL implantation produced a statistically significant reduction in IOP at all time points compared with the preoperative IOP during the study period (p < 0.001). The mean preoperative IOP was 18.25 ± 1.83 mmHg; at one month postoperatively, it was 13.45 ± 2.06 mmHg; at three months 14.80 ± 2.50 mmHg; at six months 15.35 ± 1.27 mmHg, at 12 months 14.85 ± 1.87 mmHg and at 18 months 15.15 ± 1.42 mmHg (p < 0.0008). The mean reduction in IOP was 16.98% from baseline at 18 months postoperatively. The mean number of antiglaucoma medication was reduced from 1.35/eye preoperatively to 0.60/eye postoperatively at 18 months (p < 0.0007). CONCLUSION: The result of this study revealed that ECCE with PCIOL implantation may be a reliable choice in controlling IOP in patients with CG.
Dr. M.K. Arici, Department of Ophthalmology, Cumhuriyet University, School of Medicine, Tip Fakultesi, Goz ABD-58140 Sivas, Turkey
Classification:
9.4.4.1 Exfoliation syndrome (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
12.12.2 Extracapsular (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
12.14.2 Extracapsular (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)
