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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Galenos Publishing
2018
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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. |
format | Online Article Text |
id | pubmed-5854854 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Galenos Publishing |
record_format | MEDLINE/PubMed |
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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