Cargando…
Functional results of cataract surgery in the treatment of phacomorphic glaucoma
Purpose. Analysis of functional outcome and complications reported in patients diagnosed with phacomorphic glaucoma, in which phacoemulsification or extracapsular extraction of the lens was performed. Methods. The retrospective study included 38 eyes diagnosed with phacomorphic glaucoma. In 25 cases...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Romanian Society of Ophthalmology
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710039/ https://www.ncbi.nlm.nih.gov/pubmed/29450399 |
_version_ | 1783282901731770368 |
---|---|
author | Moraru, Andreea Pînzaru, Gabriela Moţoc, Anca Costin, Dănuţ |
author_facet | Moraru, Andreea Pînzaru, Gabriela Moţoc, Anca Costin, Dănuţ |
author_sort | Moraru, Andreea |
collection | PubMed |
description | Purpose. Analysis of functional outcome and complications reported in patients diagnosed with phacomorphic glaucoma, in which phacoemulsification or extracapsular extraction of the lens was performed. Methods. The retrospective study included 38 eyes diagnosed with phacomorphic glaucoma. In 25 cases, group 1, the lens was removed by phacoemulsification and in 13 cases, group 2, by extracapsular extraction. Intraocular pressure, visual acuity, and anterior chamber depth were evaluated preoperative and postoperative. The incidence of intra and postoperative complications was analyzed. The minimum follow-up period was 12 months. Results. The mean IOP decreased from the preoperative value of 38.4 +/ - 11.3 mmHg to 13.5 +/ - 3.4 mmHg in group 1 and 11.5 +/ - 3.2 mmHg in group 2. Persistent corneal edema was observed in 32% patients from group 1 and 23% of the patients from group 2. The inflammatory reaction of anterior chamber prevailed in patients from group 2 (46.1%). ACD modified from the preoperative mean of 1.3 +/- 0.5 mm to 2.3 +/- 0.2 mm in both groups. At the end of follow-up in both groups, the average BCVA was 0.6. 18.42% of the cases required long-term topical hypotensive therapy. Conclusions. Both phacoemulsification and extracapsular extraction were safe and effective procedures in the treatment of phacomorphic glaucoma, ensuring a rapid functional recovery and a satisfactory long-term IOP control. Although the rate of immediate postoperative complications and the final functional outcome were better in patients treated with phacoemulsification, not all the cases could be subjected to this type of surgery. |
format | Online Article Text |
id | pubmed-5710039 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Romanian Society of Ophthalmology |
record_format | MEDLINE/PubMed |
spelling | pubmed-57100392017-12-14 Functional results of cataract surgery in the treatment of phacomorphic glaucoma Moraru, Andreea Pînzaru, Gabriela Moţoc, Anca Costin, Dănuţ Rom J Ophthalmol General Articles Purpose. Analysis of functional outcome and complications reported in patients diagnosed with phacomorphic glaucoma, in which phacoemulsification or extracapsular extraction of the lens was performed. Methods. The retrospective study included 38 eyes diagnosed with phacomorphic glaucoma. In 25 cases, group 1, the lens was removed by phacoemulsification and in 13 cases, group 2, by extracapsular extraction. Intraocular pressure, visual acuity, and anterior chamber depth were evaluated preoperative and postoperative. The incidence of intra and postoperative complications was analyzed. The minimum follow-up period was 12 months. Results. The mean IOP decreased from the preoperative value of 38.4 +/ - 11.3 mmHg to 13.5 +/ - 3.4 mmHg in group 1 and 11.5 +/ - 3.2 mmHg in group 2. Persistent corneal edema was observed in 32% patients from group 1 and 23% of the patients from group 2. The inflammatory reaction of anterior chamber prevailed in patients from group 2 (46.1%). ACD modified from the preoperative mean of 1.3 +/- 0.5 mm to 2.3 +/- 0.2 mm in both groups. At the end of follow-up in both groups, the average BCVA was 0.6. 18.42% of the cases required long-term topical hypotensive therapy. Conclusions. Both phacoemulsification and extracapsular extraction were safe and effective procedures in the treatment of phacomorphic glaucoma, ensuring a rapid functional recovery and a satisfactory long-term IOP control. Although the rate of immediate postoperative complications and the final functional outcome were better in patients treated with phacoemulsification, not all the cases could be subjected to this type of surgery. Romanian Society of Ophthalmology 2017 /pmc/articles/PMC5710039/ /pubmed/29450399 Text en ©Romanian Society of Ophthalmology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | General Articles Moraru, Andreea Pînzaru, Gabriela Moţoc, Anca Costin, Dănuţ Functional results of cataract surgery in the treatment of phacomorphic glaucoma |
title | Functional results of cataract surgery in the
treatment of phacomorphic glaucoma
|
title_full | Functional results of cataract surgery in the
treatment of phacomorphic glaucoma
|
title_fullStr | Functional results of cataract surgery in the
treatment of phacomorphic glaucoma
|
title_full_unstemmed | Functional results of cataract surgery in the
treatment of phacomorphic glaucoma
|
title_short | Functional results of cataract surgery in the
treatment of phacomorphic glaucoma
|
title_sort | functional results of cataract surgery in the
treatment of phacomorphic glaucoma |
topic | General Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5710039/ https://www.ncbi.nlm.nih.gov/pubmed/29450399 |
work_keys_str_mv | AT moraruandreea functionalresultsofcataractsurgeryinthetreatmentofphacomorphicglaucoma AT pinzarugabriela functionalresultsofcataractsurgeryinthetreatmentofphacomorphicglaucoma AT motocanca functionalresultsofcataractsurgeryinthetreatmentofphacomorphicglaucoma AT costindanut functionalresultsofcataractsurgeryinthetreatmentofphacomorphicglaucoma |