advertisement
Abstract #8749 Published in IGR 5-1
A pilot study of lens extraction in the management of acute primary angle-closure glaucoma
Ming Zhi Z; Lim AS; Yin Wong TAmerican Journal of Ophthalmology 2003; 135: 534-536
PURPOSE: To describe a pilot study of lens extraction in the management of acute primary angle-closure glaucoma (APACG) in Chinese patients. DESIGN: Interventional case series. METHODS: A prospective case series of patients presented with APACG at a tertiary eye hospital in Xiamen, China. All patients had intensive medical treatment followed by immediate phacoemulsification and posterior chamber intraocular lens implantation under topical anesthesia. RESULTS: There were 18 patients with APACG who had phacoemulsification and posterior chamber intraocular lens implantation under topical anesthesia. There was a 9.0-mmHg drop in mean preoperative and first day postoperative intraocular pressure (22.8 versus 13.8 mmHg, p = 0.012) and a 10.2-mmHg drop in mean preoperative and seventh-day postoperative intraocular pressure (22.8 versus 13.2 mmHg, p = 0.002). CONCLUSIONS: This pilot study indicates that phacoemulsification and posterior chamber intraocular lens implantation may be useful in the treatment of primary acute angle-closure glaucoma in Chinese patients. Further study with longer follow-up is needed.
Dr. Z. Ming Zhi, Xiamen Eye Center, Xiamen, China
Classification:
9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
