Journals / MN Oftalmoloji / 2010 / Cilt: 17 - Sayı: 2

Intraocular pressure control after phacoemulsification in primary open angle glaucoma patients

Primer açık açılı glokom hastalarında fakoemülsifikasyon sonrasında göz içi basıncı kontrolü

Pages
90–93
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Conclusions: In POAG patients with co-existing cataract, cataract extraction by phacoemulsification can significantly reduce both IOP and number of glaucoma medications.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: To evaluate the effect of phacoemulsification on intraocular pressure(IOP) and glaucoma medication in primary open angle glaucoma (POAG) patients.
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Key Findings & Data:Material and Method: 40 eyes of 40 POAG with co-existing cataract were included in this study.
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Conclusion & Impact:Conclusions: In POAG patients with co-existing cataract, cataract extraction by phacoemulsification can significantly reduce both IOP and number of glaucoma medications.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Ameliyat sonrası dönem · Glokom · açık-açılı

Abstract

Aim: To evaluate the effect of phacoemulsification on intraocular pressure(IOP) and glaucoma medication in primary open angle glaucoma (POAG) patients. Material and Method: 40 eyes of 40 POAG with co-existing cataract were included in this study. All patients had cataract extraction by phacoemulsification and intraocular lens implantation. The follow-up period was 6 months.Preoperative and potoperative IOP values and number of glaucoma medications were compared. Results: There were 23 (57.5%) female patients and 17 (42.5%) male patients, mean age was 65.8±5.6 (57-75) years.The mean preoperative IOP was 16.02±2.0 mmHg with a mean of 1.83±0.9 glaucoma medications. Postoperatively the mean IOP was 14.98±1.83 mmHg and the mean number of medications was 0.63±0.8 at 6 months. The decrease in IOP and number of medications was significant after cataract surgery. (p<0.05). Conclusions: In POAG patients with co-existing cataract, cataract extraction by phacoemulsification can significantly reduce both IOP and number of glaucoma medications.

Özet

Amaç: Primer Açık Açılı Glokom (PAAG) hastalarında fakoemülsifikasyon cerrahisinin göz içi basıncı (GİB) ve glokom medikasyonu üzerine etkilerini değerlendirmek. Gereç ve yöntem: Kataraktı olan 40 PAAG hastasının 40 gözü çalışmaya dahil edildi. Tüm hastalara fakoemülsifikasyon ile katarakt extraksiyonu ve göz içi lens implantasyonu uygulandı. Hastalar 6 ay takip edildi. Cerrahi öncesi ve sonrası GİB değerleri ve kullanılan glokom ilacı sayıları karşılaştırıldı. Sonuçlar: Hastaların 23 (%57,5)’ü kadın, 17 (%42,5)’si erkek, ortalama yaşları 65,8±5,6 (57-75) yıl idi. Ameliyat öncesi ortalama GİB 16,02±2,0 mmHg ve ameliyat öncesi kullanılan ortalama antiglokomatöz ilaç sayısı 1,83±0,9 idi. Ameliyattan sonra 6. ayda hastaların ortalama GİB 14,98±1,83 mmHg, kullandıkları ortalama antiglokomatöz ilaç sayısı 0,63±0,8 bulundu. Katarakt ameliyatı sonrası hastaların GİB değerinin ve kullandıkları antiglokomatöz ilaç sayısının düşmesi istatistiksel olarak anlamlı bulundu (p<0,05). Tartışma: Kataraktı olan PAAG hastalarında fakoemülsifikasyon ile katarakt ekstraktsiyonu, GİB’i ve kullanılan glokom ilacı sayısını anlamlı olarak azaltmaktadır

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Cite This Article

ACAR, B. T., ESEN, D., BUTTANRI, İ. B., SEVİM, M. Ş., ACAR, S. (2010). Intraocular pressure control after phacoemulsification in primary open angle glaucoma patients. MN Oftalmoloji, Cilt: 17 - Sayı: 2, 90–93. https://ajindex.com/articles/295796

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References (1)

  1. Randolph ME, Maumenee AE, Iliff CE. Cataract extraction in glaucomatous eyes. Am J Ophthalmol 1971;71:328-30 2. Bigger JF, Becker B. Cataracts and primary open-angle glaucoma: the effect of uncomplicated cataract extraction on glaucoma control. Trans Am Ophthalmol Otolayngol 1971;75:260- 72 3. Onai T, Raitta C. Extracapsular cataract extraction and posterior chamber lens implantation in controlled open angle glaucoma. Ophthalmic Surg 1991;22:381-387; erratum,695 4. Steuhl KP, Marahrens P, Frohn c, Frohn A. Intraocular pressure and anterior chamber depth before and after extracapsuler cataract extraction with posterior camber lens implanta tion. Ophtalmic Surg 1992;23:233-237 5. Handa J, Henry JC, Krupin T, Keates E. Extracapsular cataract extraction with posterior chamber lens implantation in patients with glaucoma. Am J Ophthalmol 1987;105:765-9 6. McMahan LB, Monica ML, Zimmerman TJ. Posterior chamber pseudophakes in glaucoma patients. Ophthalmic Surg 1986;17:146-50 7. Friedman DS, Jampel HD, Lubomski LH, et al. Surgical strategies for coexisting glaucoma and cataract. An evidencebased update. Ophthalmology 2002;109:1902-15 8. Kim DD, Doyle JW, Smith MF. Intraocular pressure reduction following phacoemulsification cataract extraction with posterior chamber lens implantation in glaucoma patients. Ophthalmic Surg Lasers 1999;30:37-40 9. Yalvaç İ, Airaksinen PJ, Tuulonen A. Phacoemulsification with and without trabeculectomy in patients with glaucoma. Ophthalmic Surg Lasers 1997;28:469-75 10. Anders N, Pham T, Holschbach A, Wollensak J. Combined phacoemulsification and filtering surgery with the ‘no-stitch’ technique. Arch Ophthalmol 1997;115:1245-9 11. Shingleton BJ, Gamell LS, O’Donoghue MW, et al. Long-term changes in intraocular pressure after clear corneal phacoemulsification: normal patients versus glaucoma suspect and glaucoma patients. J Cataract Refract Surg. 1999;25: 885-90 12. Friedman DS, Jampel HD, Lubomski LH, et al. Surgical strategies for coexisting glucoma and cataract. An evidencebased update. Ophthalmology. 2002;109:1902-15 13. Pohjalainen T, Vesti E, Uusitalo RJ, et al. Phacoemulsification and intraocular lens implantation in eyes with open-angle glaucoma. Acta Ophthalmol Scand. 2001;79:313-6 14. Mathalone N, Hyams M, Neiman S, et al. Long-term intraocular pressure control after clear corneal phacoemulsification in glaucoma patients. J Cataract Refract Surg. 2005;31:479- 83 15. Hayashi K, Hayashi H, Nakao F, et al. Changes in anterior