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Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure

The management of acute angle closure combined with an extremely shallow anterior chamber and cataract remains complex. This study evaluated a technique of vitreous needle aspiration combined with phacoemulsification for the treatment of acute angle closure with continuous high intraocular pressure...

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Autores principales: Xiang, Xiaoli, Chen, Yuan, Wang, Jinyu, Huang, Zhengru, Gu, Zheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8087487/
https://www.ncbi.nlm.nih.gov/pubmed/33976933
http://dx.doi.org/10.1155/2021/5528281
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author Xiang, Xiaoli
Chen, Yuan
Wang, Jinyu
Huang, Zhengru
Gu, Zheng
author_facet Xiang, Xiaoli
Chen, Yuan
Wang, Jinyu
Huang, Zhengru
Gu, Zheng
author_sort Xiang, Xiaoli
collection PubMed
description The management of acute angle closure combined with an extremely shallow anterior chamber and cataract remains complex. This study evaluated a technique of vitreous needle aspiration combined with phacoemulsification for the treatment of acute angle closure with continuous high intraocular pressure (IOP). We retrospectively reviewed the results of vitreous needle aspiration combined with phacoemulsification in 17 eyes (17 patients) with acute angle closure with continuous high IOP and coexisting visually significant cataracts between September 2018 and April 2020 at the glaucoma unit of the affiliated Changshu Hospital of Xuzhou Medical University. The main outcomes were the best corrected visual acuity (BCVA), IOP, anterior chamber depth (ACD), angle open distance 500 (AOD500), number of antiglaucoma medications, and surgery-associated complications. There were no complications during phacoemulsification and a foldable acrylic intraocular lens was implanted in the capsular bag in all 17 patients. For all patients, vitreous needle aspiration was successful at the first attempt. The BCVA improved from 2.02 ± 0.54 logMAR preoperatively to 0.73 ± 0.57 logMAR postoperatively at the final examination (p < 0.001). The mean IOP was 54.47 ± 5.33 mmHg preoperatively and 15.59 ± 2.35 mmHg at the final examination (p < 0.001) without any medication. The ACD was 1.70 ± 0.16 mm preoperatively and 3.35 ± 1.51 mm at the final examination (p < 0.001). The AOD500 was 0.07 ± 0.02 mm preoperatively and 0.51 ± 0.04 mm at the final examination (p < 0.001). Our vitreous needle aspiration technique can be performed safely in phacoemulsification for the management of acute angle closure with continuous high IOP.
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spelling pubmed-80874872021-05-10 Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure Xiang, Xiaoli Chen, Yuan Wang, Jinyu Huang, Zhengru Gu, Zheng J Ophthalmol Research Article The management of acute angle closure combined with an extremely shallow anterior chamber and cataract remains complex. This study evaluated a technique of vitreous needle aspiration combined with phacoemulsification for the treatment of acute angle closure with continuous high intraocular pressure (IOP). We retrospectively reviewed the results of vitreous needle aspiration combined with phacoemulsification in 17 eyes (17 patients) with acute angle closure with continuous high IOP and coexisting visually significant cataracts between September 2018 and April 2020 at the glaucoma unit of the affiliated Changshu Hospital of Xuzhou Medical University. The main outcomes were the best corrected visual acuity (BCVA), IOP, anterior chamber depth (ACD), angle open distance 500 (AOD500), number of antiglaucoma medications, and surgery-associated complications. There were no complications during phacoemulsification and a foldable acrylic intraocular lens was implanted in the capsular bag in all 17 patients. For all patients, vitreous needle aspiration was successful at the first attempt. The BCVA improved from 2.02 ± 0.54 logMAR preoperatively to 0.73 ± 0.57 logMAR postoperatively at the final examination (p < 0.001). The mean IOP was 54.47 ± 5.33 mmHg preoperatively and 15.59 ± 2.35 mmHg at the final examination (p < 0.001) without any medication. The ACD was 1.70 ± 0.16 mm preoperatively and 3.35 ± 1.51 mm at the final examination (p < 0.001). The AOD500 was 0.07 ± 0.02 mm preoperatively and 0.51 ± 0.04 mm at the final examination (p < 0.001). Our vitreous needle aspiration technique can be performed safely in phacoemulsification for the management of acute angle closure with continuous high IOP. Hindawi 2021-04-22 /pmc/articles/PMC8087487/ /pubmed/33976933 http://dx.doi.org/10.1155/2021/5528281 Text en Copyright © 2021 Xiaoli Xiang et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Xiang, Xiaoli
Chen, Yuan
Wang, Jinyu
Huang, Zhengru
Gu, Zheng
Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure
title Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure
title_full Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure
title_fullStr Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure
title_full_unstemmed Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure
title_short Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure
title_sort vitreous decompression combined with phacoemulsification for medically unresponsive acute angle closure
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8087487/
https://www.ncbi.nlm.nih.gov/pubmed/33976933
http://dx.doi.org/10.1155/2021/5528281
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