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Outcome of phacoemulsification and intraocular lens implantation for acute angle-closure glaucoma Yoshiaki Ieki 1 , Shinji Miura 1 , Mitsuko Suzuki 1 , Yasuhiro Tanaka 1 1Dept of Ophthalmol,Wakayama Med Center,Japanes Red Cross Society pp.289-293
Published Date 2005/3/15
DOI https://doi.org/10.11477/mf.1410100040
  • Abstract
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We performed phacoemulsification and intraocular lens(IOL)implantation as the primary procedure for acute angle-closure glaucoma in 23 eyes of 21 patients. The series comprised 2 eyes of 2 males and 21 eyes of 19 females. Their ages averaged 67.6±8.9 years. The axial length averaged 22.1±0.9 mm. The initial intraocular pressure(IOP)ranged from 24 to 70 mmHg,average 48.7 mmHg. The duration of surgery averaged 24.6 minutes. Additional core vitrectomy was performed in 3 eyes. There was no intraoperative complication except one eye in which IOL was not implanted due to ruptured zonule. IOP on next day of surgery ranged from 8 to 26 mmHg average 14.8 mmHg. Additional glaucoma surgery had to be performed in one eye only. Final IOP averaged 14.0 mmHg. Two eyes were using topical antiglaucoma medication. Visual acuity improved in 18 eyes(78%)and remained unchanged in 5 eyes(22%). No case developed bullous keratopathy during the period of observation. The findings show that phacoemulsification with IOL implantation is safe and effective for acute angle-closure glaucoma.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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