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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...

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Autores principales: Moraru, Andreea, Pînzaru, Gabriela, Moţoc, Anca, Costin, Dănuţ
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
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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.
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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
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