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The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery

OBJECTIVES: To determine the profile and clinical course of glaucoma in adult aphakic patients following complicated cataract surgery. MATERIALS AND METHODS: Retrospective chart review of 22 adult aphakic patients (29 eyes) with glaucoma. RESULTS: Mean age was 57.69±14.18 years when aphakia occurred...

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Autores principales: Ekşioğlu, Ümit, Yakın, Mehmet, Balta, Özgür, Şingar-Özdemir, Evin, Hüsniye Telek, Hande, Örnek, Firdevs, Yalvaç, Ilgaz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854854/
https://www.ncbi.nlm.nih.gov/pubmed/29576893
http://dx.doi.org/10.4274/tjo.97957
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author Ekşioğlu, Ümit
Yakın, Mehmet
Balta, Özgür
Şingar-Özdemir, Evin
Hüsniye Telek, Hande
Örnek, Firdevs
Yalvaç, Ilgaz
author_facet Ekşioğlu, Ümit
Yakın, Mehmet
Balta, Özgür
Şingar-Özdemir, Evin
Hüsniye Telek, Hande
Örnek, Firdevs
Yalvaç, Ilgaz
author_sort Ekşioğlu, Ümit
collection PubMed
description OBJECTIVES: To determine the profile and clinical course of glaucoma in adult aphakic patients following complicated cataract surgery. MATERIALS AND METHODS: Retrospective chart review of 22 adult aphakic patients (29 eyes) with glaucoma. RESULTS: Mean age was 57.69±14.18 years when aphakia occurred. Mean age at time of presentation to our glaucoma clinic was 62.57±12.47 years. Mean follow-up time was 42.83±57.04 months. Changes between the first and last follow-up visits were as follows: mean intraocular pressure decreased from 26.21±13.86 mmHg to 18.14±9.63 mmHg (p=0.003); mean number of glaucoma medications used increased from 1.41±1.27 to 2.07±1.04 (p=0.005); and mean vertical cup/disc ratio increased from 0.69±0.25 to 0.78±0.24 (p=0.024). Glaucoma was managed using medications in 26 eyes (89.7%), whereas 3 eyes underwent surgical treatment. However, surgery alone was not sufficient to control intraocular pressure and additional glaucoma medications were needed. CONCLUSION: Prevention of glaucomatous optic neuropathy in aphakic patients is challenging both medically and surgically. Although a significant decrease in intraocular pressure can be achieved with glaucoma medications, glaucomatous disc changes may progress.
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spelling pubmed-58548542018-03-23 The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery Ekşioğlu, Ümit Yakın, Mehmet Balta, Özgür Şingar-Özdemir, Evin Hüsniye Telek, Hande Örnek, Firdevs Yalvaç, Ilgaz Turk J Ophthalmol Original Article OBJECTIVES: To determine the profile and clinical course of glaucoma in adult aphakic patients following complicated cataract surgery. MATERIALS AND METHODS: Retrospective chart review of 22 adult aphakic patients (29 eyes) with glaucoma. RESULTS: Mean age was 57.69±14.18 years when aphakia occurred. Mean age at time of presentation to our glaucoma clinic was 62.57±12.47 years. Mean follow-up time was 42.83±57.04 months. Changes between the first and last follow-up visits were as follows: mean intraocular pressure decreased from 26.21±13.86 mmHg to 18.14±9.63 mmHg (p=0.003); mean number of glaucoma medications used increased from 1.41±1.27 to 2.07±1.04 (p=0.005); and mean vertical cup/disc ratio increased from 0.69±0.25 to 0.78±0.24 (p=0.024). Glaucoma was managed using medications in 26 eyes (89.7%), whereas 3 eyes underwent surgical treatment. However, surgery alone was not sufficient to control intraocular pressure and additional glaucoma medications were needed. CONCLUSION: Prevention of glaucomatous optic neuropathy in aphakic patients is challenging both medically and surgically. Although a significant decrease in intraocular pressure can be achieved with glaucoma medications, glaucomatous disc changes may progress. Galenos Publishing 2018-02 2018-02-23 /pmc/articles/PMC5854854/ /pubmed/29576893 http://dx.doi.org/10.4274/tjo.97957 Text en ©2018 Turkish Journal of Ophthalmology, Published by Galenos Publishing. urlcontent 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 Original Article
Ekşioğlu, Ümit
Yakın, Mehmet
Balta, Özgür
Şingar-Özdemir, Evin
Hüsniye Telek, Hande
Örnek, Firdevs
Yalvaç, Ilgaz
The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery
title The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery
title_full The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery
title_fullStr The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery
title_full_unstemmed The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery
title_short The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery
title_sort profile and management of glaucoma in adult aphakic patients following complicated cataract surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854854/
https://www.ncbi.nlm.nih.gov/pubmed/29576893
http://dx.doi.org/10.4274/tjo.97957
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