The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma
Objectives:To investigate the effects of phacoemulsification with intraocular lens implantation (phaco+IOL) surgery on intraocular pressure (IOP) and anterior segment parameters in patients with cataract and primary angle-closure glaucoma (PACG).Materials and Methods:Fifty-five patients with PACG un...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2024-02-01
|
| Series: | Türk Oftalmoloji Dergisi |
| Subjects: | |
| Online Access: |
http://www.oftalmoloji.org/archives/archive-detail/article-preview/the-effects-of-lens-extraction-surgery-on-ntraocul/64469
|
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849406417927143424 |
|---|---|
| author | Serdar Bayraktar Büşra Dilara Yıldırım Erdal Fatma Büşra Altaş Mine Türkay Emine Şen |
| author_facet | Serdar Bayraktar Büşra Dilara Yıldırım Erdal Fatma Büşra Altaş Mine Türkay Emine Şen |
| author_sort | Serdar Bayraktar |
| collection | DOAJ |
| description | Objectives:To investigate the effects of phacoemulsification with intraocular lens implantation (phaco+IOL) surgery on intraocular pressure (IOP) and anterior segment parameters in patients with cataract and primary angle-closure glaucoma (PACG).Materials and Methods:Fifty-five patients with PACG undergoing phaco+IOL surgery were evaluated in terms of best corrected visual acuity (BCVA), IOP, anterior chamber depth (ACD), aqueous depth (AD), and lens thickness (LT) measured by optical biometry preoperatively and at the 6-month postoperative visit. They were compared with 34 healthy age-and gender-matched cataract patients who underwent phaco+IOL surgery.Results:Preoperative evaluation revealed higher IOP, shorter axial length, shallower ACD and AD, and greater LT in the PACG group (p<0.001 for all). Postoperative evaluation in the PACG group showed an increase in BCVA, a significant decrease in IOP, an increase in ACD and AD, and a decrease in LT (p<0.001 for all). Additionally, a reduction in the average number of antiglaucomatous medications used postoperatively was observed in the PACG group (p<0.001). The changes in IOP, ACD, AD, and LT between preoperative and postoperative assessments were significantly greater in the PACG group compared to the control group (p<0.0001 for all).Conclusion:Phaco+IOL surgery in PACG patients leads to a significant increase in ACD compared to the control group and allows better control of IOP with fewer antiglaucomatous medications after surgery. |
| format | Article |
| id | doaj-art-4defd8bd4b2b46699edfbe7d03a4e595 |
| institution | Kabale University |
| issn | 1300-0659 2147-2661 |
| language | English |
| publishDate | 2024-02-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj-art-4defd8bd4b2b46699edfbe7d03a4e5952025-08-20T03:36:22ZengGalenos Publishing HouseTürk Oftalmoloji Dergisi1300-06592147-26612024-02-01541323710.4274/tjo.galenos.2023.8245313049054The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure GlaucomaSerdar Bayraktar0Büşra Dilara Yıldırım Erdal1Fatma Büşra Altaş2Mine Türkay3Emine Şen4 Sağlık Bilimleri Üniversitesi, Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, Ankara, Türkiye Sağlık Bilimleri Üniversitesi, Ulucanlar Göz Eğitim ve Araştırma Hastanesi, Göz Hastalıkları Kliniği, Ankara, Türkiye Objectives:To investigate the effects of phacoemulsification with intraocular lens implantation (phaco+IOL) surgery on intraocular pressure (IOP) and anterior segment parameters in patients with cataract and primary angle-closure glaucoma (PACG).Materials and Methods:Fifty-five patients with PACG undergoing phaco+IOL surgery were evaluated in terms of best corrected visual acuity (BCVA), IOP, anterior chamber depth (ACD), aqueous depth (AD), and lens thickness (LT) measured by optical biometry preoperatively and at the 6-month postoperative visit. They were compared with 34 healthy age-and gender-matched cataract patients who underwent phaco+IOL surgery.Results:Preoperative evaluation revealed higher IOP, shorter axial length, shallower ACD and AD, and greater LT in the PACG group (p<0.001 for all). Postoperative evaluation in the PACG group showed an increase in BCVA, a significant decrease in IOP, an increase in ACD and AD, and a decrease in LT (p<0.001 for all). Additionally, a reduction in the average number of antiglaucomatous medications used postoperatively was observed in the PACG group (p<0.001). The changes in IOP, ACD, AD, and LT between preoperative and postoperative assessments were significantly greater in the PACG group compared to the control group (p<0.0001 for all).Conclusion:Phaco+IOL surgery in PACG patients leads to a significant increase in ACD compared to the control group and allows better control of IOP with fewer antiglaucomatous medications after surgery. http://www.oftalmoloji.org/archives/archive-detail/article-preview/the-effects-of-lens-extraction-surgery-on-ntraocul/64469 primary angle-closure glaucomalens extractionintraocular pressureanterior segment parameters |
| spellingShingle | Serdar Bayraktar Büşra Dilara Yıldırım Erdal Fatma Büşra Altaş Mine Türkay Emine Şen The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma Türk Oftalmoloji Dergisi primary angle-closure glaucoma lens extraction intraocular pressure anterior segment parameters |
| title | The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma |
| title_full | The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma |
| title_fullStr | The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma |
| title_full_unstemmed | The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma |
| title_short | The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma |
| title_sort | effects of lens extraction surgery on intraocular pressure and anterior segment parameters in primary angle closure glaucoma |
| topic | primary angle-closure glaucoma lens extraction intraocular pressure anterior segment parameters |
| url |
http://www.oftalmoloji.org/archives/archive-detail/article-preview/the-effects-of-lens-extraction-surgery-on-ntraocul/64469
|
| work_keys_str_mv | AT serdarbayraktar theeffectsoflensextractionsurgeryonintraocularpressureandanteriorsegmentparametersinprimaryangleclosureglaucoma AT busradilarayıldırımerdal theeffectsoflensextractionsurgeryonintraocularpressureandanteriorsegmentparametersinprimaryangleclosureglaucoma AT fatmabusraaltas theeffectsoflensextractionsurgeryonintraocularpressureandanteriorsegmentparametersinprimaryangleclosureglaucoma AT mineturkay theeffectsoflensextractionsurgeryonintraocularpressureandanteriorsegmentparametersinprimaryangleclosureglaucoma AT eminesen theeffectsoflensextractionsurgeryonintraocularpressureandanteriorsegmentparametersinprimaryangleclosureglaucoma AT serdarbayraktar effectsoflensextractionsurgeryonintraocularpressureandanteriorsegmentparametersinprimaryangleclosureglaucoma AT busradilarayıldırımerdal effectsoflensextractionsurgeryonintraocularpressureandanteriorsegmentparametersinprimaryangleclosureglaucoma AT fatmabusraaltas effectsoflensextractionsurgeryonintraocularpressureandanteriorsegmentparametersinprimaryangleclosureglaucoma AT mineturkay effectsoflensextractionsurgeryonintraocularpressureandanteriorsegmentparametersinprimaryangleclosureglaucoma AT eminesen effectsoflensextractionsurgeryonintraocularpressureandanteriorsegmentparametersinprimaryangleclosureglaucoma |