Effect of phacoemulsification on intraocular pressure in patients with primary open angle glaucoma and pseudoexfoliation glaucoma
AIM: To compare the effect of phacoemulsification on intraocular pressure (IOP) in patients with primary open angle glaucoma (POAG) and pseudoexfoliation glaucoma (PXG). METHODS: A retrospective comparative case series conducted at the Glaucoma Department at the Association to Prevent Blindness in...
| Huvudupphovsmän: | , , , , , , , , |
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| Materialtyp: | Artikel |
| Språk: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2017-09-01
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| Serie: | International Journal of Ophthalmology |
| Ämnen: | |
| Länkar: | http://www.ijo.cn/en_publish/2017/9/20170907.pdf |
| _version_ | 1828764070389481472 |
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| author | Jesus Jimenez-Roman Gabriel Lazcano-Gomez Karina Martínez-Baez Mauricio Turati Rosario Gulías-Cañizo Luis F. Hernández-Zimbrón Lenin Ochoa-De la Paz Rubén Zamora Roberto Gonzalez-Salinas |
| author_facet | Jesus Jimenez-Roman Gabriel Lazcano-Gomez Karina Martínez-Baez Mauricio Turati Rosario Gulías-Cañizo Luis F. Hernández-Zimbrón Lenin Ochoa-De la Paz Rubén Zamora Roberto Gonzalez-Salinas |
| author_sort | Jesus Jimenez-Roman |
| collection | DOAJ |
| description | AIM: To compare the effect of phacoemulsification on intraocular pressure (IOP) in patients with primary open angle glaucoma (POAG) and pseudoexfoliation glaucoma (PXG).
METHODS: A retrospective comparative case series conducted at the Glaucoma Department at the Association to Prevent Blindness in Mexico. The study enrolled consecutive patients having phacoemulsification with intraocular lens (IOL) implantation and a diagnosis of POAG or PXG. Data about IOP values and number of glaucoma medications used was collected at baseline, 1, 3, 6 and 12mo postoperatively.
RESULTS: The study enrolled 88 patients (88 eyes). After phacoemulsification, there was a statistically significant reduction in IOP values and glaucoma medications use compared to baseline in both POAG and PXG patients (P<0.001). In the POAG group, a 20% decrease in IOP values was evidenced, and a 56.5% reduction in the number of medications used at the one-year follow-up. The PXG group showed a 20.39%, and a 34.46% decrease in IOP and number of medications used, respectively. A significant difference in the mean ΔIOP (postoperative changes in IOP) was evidenced between groups (P=0.005). The reduction of the postsurgical IOP mean values in both groups, the POAG group showed a greater reduction in IOP values compared to the PXG group.
CONCLUSION: In both types of glaucoma, phacoemulsification cataract surgery can result in a significant IOP reduction (20%) over a 12mo follow-up period. The number of medications used is also significantly reduced up to 12mo after surgery, especially in the PXG group. |
| first_indexed | 2024-12-11T02:14:04Z |
| format | Article |
| id | doaj.art-1f31eea8dda34b809ab0d871b51fca25 |
| institution | Directory Open Access Journal |
| issn | 2222-3959 2227-4898 |
| language | English |
| last_indexed | 2024-12-11T02:14:04Z |
| publishDate | 2017-09-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | International Journal of Ophthalmology |
| spelling | doaj.art-1f31eea8dda34b809ab0d871b51fca252022-12-22T01:24:13ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982017-09-011091374137810.18240/ijo.2017.09.07Effect of phacoemulsification on intraocular pressure in patients with primary open angle glaucoma and pseudoexfoliation glaucomaJesus Jimenez-Roman0Gabriel Lazcano-Gomez1Karina Martínez-Baez2Mauricio Turati3Rosario Gulías-Cañizo4Luis F. Hernández-Zimbrón5Lenin Ochoa-De la Paz6Rubén Zamora7Roberto Gonzalez-Salinas8Glaucoma Department, Asociation to Prevent Blindness in Mexico, Mexico City 04030, MexicoGlaucoma Department, Asociation to Prevent Blindness in Mexico, Mexico City 04030, MexicoGlaucoma Department, Asociation to Prevent Blindness in Mexico, Mexico City 04030, MexicoGlaucoma Department, Asociation to Prevent Blindness in Mexico, Mexico City 04030, MexicoResearch Department, Asociation to Prevent Blindness in Mexico, Mexico City 04030, Mexico; Cell Biology Department, Advanced Research Center, I.P.N. (CINVESTAV) in Mexico City, Mexico City 07360, MexicoResearch Department, Asociation to Prevent Blindness in Mexico, Mexico City 04030, MexicoResearch Department, Asociation to Prevent Blindness in Mexico, Mexico City 04030, MexicoResearch Department, Asociation to Prevent Blindness in Mexico, Mexico City 04030, MexicoResearch Department, Asociation to Prevent Blindness in Mexico, Mexico City 04030, MexicoAIM: To compare the effect of phacoemulsification on intraocular pressure (IOP) in patients with primary open angle glaucoma (POAG) and pseudoexfoliation glaucoma (PXG). METHODS: A retrospective comparative case series conducted at the Glaucoma Department at the Association to Prevent Blindness in Mexico. The study enrolled consecutive patients having phacoemulsification with intraocular lens (IOL) implantation and a diagnosis of POAG or PXG. Data about IOP values and number of glaucoma medications used was collected at baseline, 1, 3, 6 and 12mo postoperatively. RESULTS: The study enrolled 88 patients (88 eyes). After phacoemulsification, there was a statistically significant reduction in IOP values and glaucoma medications use compared to baseline in both POAG and PXG patients (P<0.001). In the POAG group, a 20% decrease in IOP values was evidenced, and a 56.5% reduction in the number of medications used at the one-year follow-up. The PXG group showed a 20.39%, and a 34.46% decrease in IOP and number of medications used, respectively. A significant difference in the mean ΔIOP (postoperative changes in IOP) was evidenced between groups (P=0.005). The reduction of the postsurgical IOP mean values in both groups, the POAG group showed a greater reduction in IOP values compared to the PXG group. CONCLUSION: In both types of glaucoma, phacoemulsification cataract surgery can result in a significant IOP reduction (20%) over a 12mo follow-up period. The number of medications used is also significantly reduced up to 12mo after surgery, especially in the PXG group.http://www.ijo.cn/en_publish/2017/9/20170907.pdf1378cataract surgerypseudoexfoliation glaucomasecondary glaucomaprimary open angle glaucomaintraocular pressure |
| spellingShingle | Jesus Jimenez-Roman Gabriel Lazcano-Gomez Karina Martínez-Baez Mauricio Turati Rosario Gulías-Cañizo Luis F. Hernández-Zimbrón Lenin Ochoa-De la Paz Rubén Zamora Roberto Gonzalez-Salinas Effect of phacoemulsification on intraocular pressure in patients with primary open angle glaucoma and pseudoexfoliation glaucoma International Journal of Ophthalmology 1378 cataract surgery pseudoexfoliation glaucoma secondary glaucoma primary open angle glaucoma intraocular pressure |
| title | Effect of phacoemulsification on intraocular pressure in patients with primary open angle glaucoma and pseudoexfoliation glaucoma |
| title_full | Effect of phacoemulsification on intraocular pressure in patients with primary open angle glaucoma and pseudoexfoliation glaucoma |
| title_fullStr | Effect of phacoemulsification on intraocular pressure in patients with primary open angle glaucoma and pseudoexfoliation glaucoma |
| title_full_unstemmed | Effect of phacoemulsification on intraocular pressure in patients with primary open angle glaucoma and pseudoexfoliation glaucoma |
| title_short | Effect of phacoemulsification on intraocular pressure in patients with primary open angle glaucoma and pseudoexfoliation glaucoma |
| title_sort | effect of phacoemulsification on intraocular pressure in patients with primary open angle glaucoma and pseudoexfoliation glaucoma |
| topic | 1378 cataract surgery pseudoexfoliation glaucoma secondary glaucoma primary open angle glaucoma intraocular pressure |
| url | http://www.ijo.cn/en_publish/2017/9/20170907.pdf |
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