Management of phacolytic glaucoma: experience of 135 cases

Details

Serval ID
serval:BIB_E2BF9FBBB9A7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Management of phacolytic glaucoma: experience of 135 cases
Journal
Indian Journal of Ophthalmology
Author(s)
Braganza  A., Thomas  R., George  T., Mermoud  A.
ISSN
0301-4738 (Print)
Publication state
Published
Issued date
09/1998
Volume
46
Number
3
Pages
139-43
Notes
Clinical Trial
Comparative Study
Journal Article --- Old month value: Sep
Abstract
We retrospectively analyzed 135 eyes with phacolytic glaucoma. A trabeculectomy was added to standard cataract surgery if symptoms endured for more than seven days, or if preoperative control of intraocular pressure (IOP) with maximal medical treatment was inadequate. In the early postoperative period, IOP was significantly lower in the combined surgery group (89 eyes) compared to the cataract surgery group (46 eyes) (p < 0.001). At 6 months there was no difference in IOP or visual acuity between the two groups. There were no serious complications related to trabeculectomy. It is reasonable to conclude that in eyes with a long duration of phacolytic glaucoma, addition of a trabeculectomy to cataract surgery is safe, prevents postoperative rise in intraocular pressure and decreases the need for systemic hypotensive medications. A randomized trial is on to further address this question.
Keywords
Adult Aged Aged, 80 and over Cataract/complications *Cataract Extraction Female Follow-Up Studies Glaucoma, Open-Angle/etiology/*surgery Humans Intraocular Pressure Male Middle Aged Retrospective Studies *Trabeculectomy Treatment Outcome Visual Acuity
Pubmed
Create date
28/01/2008 12:49
Last modification date
20/08/2019 16:06
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