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Outcome of cataract surgery with core vitrectomy for acute angle-closure glaucoma Ichiro Watanabe 1 , Yoshiaki Ieki 1 , Hiroyuki Kamao 1 , Junichi Kiryu 1 1Dept of Ophthalmol, Kawasaki Med Sch pp.939-943
Published Date 2008/6/15
DOI https://doi.org/10.11477/mf.1410102282
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Abstract. Purpose:To report the results of cataract surgery with vitrectomy for acute angle-closure glaucoma. Cases and Method:This retrospective study was made on 16 eyes of 14 patients who received surgery during the past 20 months. The series comprised 4 male and 12 female eyes. The age ranged from 57 to 86 years, average 74 years. Intraocular pressure(IOP)averaged 56.3mmHg before surgery. All the eyes received phacoemulsification-aspiration followed by implantation of intraocular lens(IOL). Additional core vitrectomy was performed on 6 eyes. Goniosynechialysis was performed on one eye. Cataract surgery was performed in 10 eyes by surgeons with less than 3 years of training. Results:Intraocular lens could be fixated in the bag in all the eyes. There was no postoperative complications except one eye each that needed laser iridotomy or goniosynechialysis. Final IOP was below 22mmHg in all the eyes and averaged 11.8mmHg. Medication could be discontinued in 12 out of 16 eyes after surgery. Conclusion:Cataract surgery and IOL implantation with or without core vitrectomy is effective for acute angle-closure glaucoma, induces IOP control, and has minor intra-or postoperative complications. This surgical modality can be performed by surgeons with less than 3 years of experience.


Copyright © 2008, 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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