Effects of Cataract Surgery on Intraocular Pressure in Patients with and without Glaucoma
Pur po se: To evaluate the effects of phacoemulsification surgery with primary intraocular lens (IOL) implantation on intraocular pressure (IOP) in various types of glaucoma patients with visually significant cataract and to compare these results with cataract patients without glaucoma. Ma te ri...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2013-06-01
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| Series: | Türk Oftalmoloji Dergisi |
| Subjects: | |
| Online Access: | http://www.oftalmoloji.org/article_2260/Effects-Of-Cataract-Surgery-On-Intraocular-Pressure-In-Patients-With-And-Without-Glaucoma |
| _version_ | 1797907553038893056 |
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| author | Tülin İsmi Ayça Yılmaz |
| author_facet | Tülin İsmi Ayça Yılmaz |
| author_sort | Tülin İsmi |
| collection | DOAJ |
| description | Pur po se: To evaluate the effects of phacoemulsification surgery with primary intraocular lens (IOL) implantation on intraocular pressure
(IOP) in various types of glaucoma patients with visually significant cataract and to compare these results with cataract patients without
glaucoma.
Ma te ri al and Met hod: This retrospective study included consecutive cases of 21 primary open-angle glaucoma patients, 13 primary
angle-closure glaucoma (PACG) patients, 11 pseudoexfoliation glaucoma patients, and 21 control eyes without any type of glaucoma; all
patients had co-existing cataract. Visual acuities, IOP, number of glaucoma medications used, anterior chamber depth (ACD), and
gonioscopic evaluations were noted both pre- and postoperatively. Phacoemulsification and IOL implantations were performed via clear
corneal incisions in the whole study group. Study group was followed-up for six months.
Re sults: Postoperative visits at the 1st, 3rd, and 6th months were noted. After surgery, visual acuities improved significantly (p=0.001)
in all groups. Intraocular pressures decreased in all groups postoperatively, but the change was statistically significant in the PACG group
(p=0.013). Increase in ACD was significant in PACG group (p=0.001). Widening of iridocorneal angle and decrease in the number of
antiglaucoma drugs were observed in all groups, but these were significant in the PACG group (p=0.001 and p<0.05, respectively).
Dis cus si on: In glaucoma patients with co-existing cataract, phacoemulsification surgery allows both the visual rehabilitation and IOP
control. This IOP lowering effect is seen most markedly in the PACG group. (Turk J Ophthalmol 2013; 43: 167-72) |
| first_indexed | 2024-04-10T10:38:39Z |
| format | Article |
| id | doaj.art-2c54bdb435624bcabfb4e5f03cb1435d |
| institution | Directory Open Access Journal |
| issn | 1300-0659 2147-2661 |
| language | English |
| last_indexed | 2024-04-10T10:38:39Z |
| publishDate | 2013-06-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj.art-2c54bdb435624bcabfb4e5f03cb1435d2023-02-15T16:20:41ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612013-06-0143316717210.4274/tjo.43.98852Effects of Cataract Surgery on Intraocular Pressure in Patients with and without GlaucomaTülin İsmi0Ayça Yılmaz1Osmaniye State Hospital, Ophthalmology Clinic, Osmaniye, TurkeyMersin University Faculty of Medicine, Ophthalmology Department, Mersin, TurkeyPur po se: To evaluate the effects of phacoemulsification surgery with primary intraocular lens (IOL) implantation on intraocular pressure (IOP) in various types of glaucoma patients with visually significant cataract and to compare these results with cataract patients without glaucoma. Ma te ri al and Met hod: This retrospective study included consecutive cases of 21 primary open-angle glaucoma patients, 13 primary angle-closure glaucoma (PACG) patients, 11 pseudoexfoliation glaucoma patients, and 21 control eyes without any type of glaucoma; all patients had co-existing cataract. Visual acuities, IOP, number of glaucoma medications used, anterior chamber depth (ACD), and gonioscopic evaluations were noted both pre- and postoperatively. Phacoemulsification and IOL implantations were performed via clear corneal incisions in the whole study group. Study group was followed-up for six months. Re sults: Postoperative visits at the 1st, 3rd, and 6th months were noted. After surgery, visual acuities improved significantly (p=0.001) in all groups. Intraocular pressures decreased in all groups postoperatively, but the change was statistically significant in the PACG group (p=0.013). Increase in ACD was significant in PACG group (p=0.001). Widening of iridocorneal angle and decrease in the number of antiglaucoma drugs were observed in all groups, but these were significant in the PACG group (p=0.001 and p<0.05, respectively). Dis cus si on: In glaucoma patients with co-existing cataract, phacoemulsification surgery allows both the visual rehabilitation and IOP control. This IOP lowering effect is seen most markedly in the PACG group. (Turk J Ophthalmol 2013; 43: 167-72)http://www.oftalmoloji.org/article_2260/Effects-Of-Cataract-Surgery-On-Intraocular-Pressure-In-Patients-With-And-Without-GlaucomaAnterior chamber depth (ACD)intraocular pressure (IOP)phacoemulsificationprimary angle-closure glaucoma (PACG)primary open-angle glaucoma (POAG) |
| spellingShingle | Tülin İsmi Ayça Yılmaz Effects of Cataract Surgery on Intraocular Pressure in Patients with and without Glaucoma Türk Oftalmoloji Dergisi Anterior chamber depth (ACD) intraocular pressure (IOP) phacoemulsification primary angle-closure glaucoma (PACG) primary open-angle glaucoma (POAG) |
| title | Effects of Cataract Surgery on Intraocular Pressure in Patients with and without Glaucoma |
| title_full | Effects of Cataract Surgery on Intraocular Pressure in Patients with and without Glaucoma |
| title_fullStr | Effects of Cataract Surgery on Intraocular Pressure in Patients with and without Glaucoma |
| title_full_unstemmed | Effects of Cataract Surgery on Intraocular Pressure in Patients with and without Glaucoma |
| title_short | Effects of Cataract Surgery on Intraocular Pressure in Patients with and without Glaucoma |
| title_sort | effects of cataract surgery on intraocular pressure in patients with and without glaucoma |
| topic | Anterior chamber depth (ACD) intraocular pressure (IOP) phacoemulsification primary angle-closure glaucoma (PACG) primary open-angle glaucoma (POAG) |
| url | http://www.oftalmoloji.org/article_2260/Effects-Of-Cataract-Surgery-On-Intraocular-Pressure-In-Patients-With-And-Without-Glaucoma |
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