Early versus Delayed Phacoemulsification and Intraocular Lens Implantation for Acute Primary Angle-Closure
Purpose. To compare the effects of early phacoemulsification and intraocular lens implantation (phaco/IOL), delayed phaco/IOL after initial laser peripheral iridotomy (LPI), and conventional LPI alone in patients with acute primary angle-closure (PAC). Methods. Patients with acute PAC were included...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2020/8319570 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832550979398008832 |
|---|---|
| author | Yun-Hsuan Lin Cheng-Hsiu Wu Shih-Ming Huang Chen Hsieh Henry Shen-Lih Chen Wan-Chen Ku Ming-Hui Sun Wei-Wen Su |
| author_facet | Yun-Hsuan Lin Cheng-Hsiu Wu Shih-Ming Huang Chen Hsieh Henry Shen-Lih Chen Wan-Chen Ku Ming-Hui Sun Wei-Wen Su |
| author_sort | Yun-Hsuan Lin |
| collection | DOAJ |
| description | Purpose. To compare the effects of early phacoemulsification and intraocular lens implantation (phaco/IOL), delayed phaco/IOL after initial laser peripheral iridotomy (LPI), and conventional LPI alone in patients with acute primary angle-closure (PAC). Methods. Patients with acute PAC were included in the study, and those with secondary glaucoma, prior ocular trauma, or other ocular diseases and those who had undergone ocular surgeries previously were excluded. Patients were categorized into three groups: Group A, which underwent primary phaco/IOL after acute PAC; Group B, which underwent LPI initially after acute PAC, followed by phaco/IOL within 6 months; and Group C, which underwent LPI alone. The IOP control success at 12 months as well as changes in ocular characteristics and the number of antiglaucoma medications used after the treatment among the groups were evaluated. Results. Eighty-one eyes were included in the study: 24 eyes in Group A, 23 eyes in Group B, and 34 eyes in Group C. The linear mixed model analysis demonstrated considerable IOP control in Groups A and B. Visual acuity, anterior chamber depth (ACD), and angle width improved significantly in Groups A and B, but not in Group C. The number of antiglaucoma medications used was significantly higher in Group C than in Groups A and B. Conclusions. Patients who underwent phaco/IOL had better IOP control, improved vision, deeper ACD, and wider angle and required less antiglaucoma medications than those who underwent LPI alone. Performing phaco/IOL weeks to months after the initial LPI did not appear to adversely affect outcomes compared with those of early phaco/IOL. |
| format | Article |
| id | doaj-art-6d0ab8682e164e1ebbb2485c67503f80 |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-6d0ab8682e164e1ebbb2485c67503f802025-02-03T06:05:14ZengWileyJournal of Ophthalmology2090-004X2090-00582020-01-01202010.1155/2020/83195708319570Early versus Delayed Phacoemulsification and Intraocular Lens Implantation for Acute Primary Angle-ClosureYun-Hsuan Lin0Cheng-Hsiu Wu1Shih-Ming Huang2Chen Hsieh3Henry Shen-Lih Chen4Wan-Chen Ku5Ming-Hui Sun6Wei-Wen Su7Department of Ophthalmology, Chang Gung Memorial Hospital, Keelung Branch, TaiwanDepartment of Ophthalmology, Chang Gung Memorial Hospital, Keelung Branch, TaiwanChang Gung University College of Medicine, Taoyuan, TaiwanDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, TaiwanChang Gung University College of Medicine, Taoyuan, TaiwanDepartment of Ophthalmology, Chang Gung Memorial Hospital, Keelung Branch, TaiwanChang Gung University College of Medicine, Taoyuan, TaiwanChang Gung University College of Medicine, Taoyuan, TaiwanPurpose. To compare the effects of early phacoemulsification and intraocular lens implantation (phaco/IOL), delayed phaco/IOL after initial laser peripheral iridotomy (LPI), and conventional LPI alone in patients with acute primary angle-closure (PAC). Methods. Patients with acute PAC were included in the study, and those with secondary glaucoma, prior ocular trauma, or other ocular diseases and those who had undergone ocular surgeries previously were excluded. Patients were categorized into three groups: Group A, which underwent primary phaco/IOL after acute PAC; Group B, which underwent LPI initially after acute PAC, followed by phaco/IOL within 6 months; and Group C, which underwent LPI alone. The IOP control success at 12 months as well as changes in ocular characteristics and the number of antiglaucoma medications used after the treatment among the groups were evaluated. Results. Eighty-one eyes were included in the study: 24 eyes in Group A, 23 eyes in Group B, and 34 eyes in Group C. The linear mixed model analysis demonstrated considerable IOP control in Groups A and B. Visual acuity, anterior chamber depth (ACD), and angle width improved significantly in Groups A and B, but not in Group C. The number of antiglaucoma medications used was significantly higher in Group C than in Groups A and B. Conclusions. Patients who underwent phaco/IOL had better IOP control, improved vision, deeper ACD, and wider angle and required less antiglaucoma medications than those who underwent LPI alone. Performing phaco/IOL weeks to months after the initial LPI did not appear to adversely affect outcomes compared with those of early phaco/IOL.http://dx.doi.org/10.1155/2020/8319570 |
| spellingShingle | Yun-Hsuan Lin Cheng-Hsiu Wu Shih-Ming Huang Chen Hsieh Henry Shen-Lih Chen Wan-Chen Ku Ming-Hui Sun Wei-Wen Su Early versus Delayed Phacoemulsification and Intraocular Lens Implantation for Acute Primary Angle-Closure Journal of Ophthalmology |
| title | Early versus Delayed Phacoemulsification and Intraocular Lens Implantation for Acute Primary Angle-Closure |
| title_full | Early versus Delayed Phacoemulsification and Intraocular Lens Implantation for Acute Primary Angle-Closure |
| title_fullStr | Early versus Delayed Phacoemulsification and Intraocular Lens Implantation for Acute Primary Angle-Closure |
| title_full_unstemmed | Early versus Delayed Phacoemulsification and Intraocular Lens Implantation for Acute Primary Angle-Closure |
| title_short | Early versus Delayed Phacoemulsification and Intraocular Lens Implantation for Acute Primary Angle-Closure |
| title_sort | early versus delayed phacoemulsification and intraocular lens implantation for acute primary angle closure |
| url | http://dx.doi.org/10.1155/2020/8319570 |
| work_keys_str_mv | AT yunhsuanlin earlyversusdelayedphacoemulsificationandintraocularlensimplantationforacuteprimaryangleclosure AT chenghsiuwu earlyversusdelayedphacoemulsificationandintraocularlensimplantationforacuteprimaryangleclosure AT shihminghuang earlyversusdelayedphacoemulsificationandintraocularlensimplantationforacuteprimaryangleclosure AT chenhsieh earlyversusdelayedphacoemulsificationandintraocularlensimplantationforacuteprimaryangleclosure AT henryshenlihchen earlyversusdelayedphacoemulsificationandintraocularlensimplantationforacuteprimaryangleclosure AT wanchenku earlyversusdelayedphacoemulsificationandintraocularlensimplantationforacuteprimaryangleclosure AT minghuisun earlyversusdelayedphacoemulsificationandintraocularlensimplantationforacuteprimaryangleclosure AT weiwensu earlyversusdelayedphacoemulsificationandintraocularlensimplantationforacuteprimaryangleclosure |