Journals / Annals of Medical Research / 2020 / Cilt: 27 - Sayı: 8

Long-term effects of phacoemulsification surgery on intraocular pressure in patients with primary open-angle glaucoma and pseudoexfoliation glaucoma

Pages
2112–2117
Publication Date
2022-10-12
DOI
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There was a statistically significant difference between preoperative andpostoperative 24th months IOP measurements in group 2 (p=0.01).Conclusion: Although phacoemulsification surgery may cause an increase (14-19 %) in IOP early postoperative period in eyes withPOAG and PXG, may provide a modest level decreases (19-18 %) in the long term.

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Objective & Hypothesis:Aim: To compare the long-term effects of phacoemulsification surgery on intraocular pressure (IOP) in primary open-angle glaucoma(POAG) and pseudoexfoliation glaucoma (PXG) patients.Material and Methods: This is a retrospective-comparative study.
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Key Findings & Data:The data of the patients who underwent phacoemulsificationsurgery by the same surgeon between 2010 and 2016 and followed up more than 24 months postoperatively were collected.
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Conclusion & Impact:There was a statistically significant difference between preoperative andpostoperative 24th months IOP measurements in group 2 (p=0.01).Conclusion: Although phacoemulsification surgery may cause an increase (14-19 %) in IOP early postoperative period in eyes withPOAG and PXG, may provide a modest level decreases (19-18 %) in the long term.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: To compare the long-term effects of phacoemulsification surgery on intraocular pressure (IOP) in primary open-angle glaucoma(POAG) and pseudoexfoliation glaucoma (PXG) patients.Material and Methods: This is a retrospective-comparative study. The data of the patients who underwent phacoemulsificationsurgery by the same surgeon between 2010 and 2016 and followed up more than 24 months postoperatively were collected. Whilegroup 1 consisted of 24 patients with POAG group 2 consisted of 16 patients with PXG. Preoperative, postoperative 1st day, 1st, 12th,18th, 24th, 36th and 48th months IOP and best corrected visual acuity (BCVA) were enrolled.Results: The mean follow-up time of group 1 was 44.17 ± 17.8 months and 43.13 ± 19.4 months for group 2 (p= 0.86). There wasno statistically significant difference between the groups in the preoperative, postoperative 1st day, 1st, 12th, 18th, 36th and 48thmonths IOP (p>0.05). There was a statistically significant difference for the IOP value measured postoperative 24th month betweenthe groups (p= 0.005). There was a statistically significant difference between preoperative and postoperative 1st, 12nd months IOPmeasurements in group 1 (p= 0.02; p= 0.009, respectively). There was a statistically significant difference between preoperative andpostoperative 24th months IOP measurements in group 2 (p=0.01).Conclusion: Although phacoemulsification surgery may cause an increase (14-19 %) in IOP early postoperative period in eyes withPOAG and PXG, may provide a modest level decreases (19-18 %) in the long term.

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Cite This Article

ÖZTÜRK, E., FIRAT, P. G. (2022). Long-term effects of phacoemulsification surgery on intraocular pressure in patients with primary open-angle glaucoma and pseudoexfoliation glaucoma. Annals of Medical Research, Cilt: 27 - Sayı: 8, 2112–2117. https://ajindex.com/articles/445331

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References (16)

  1. Iancu R, Corbu C. Intraocular pressure after phacoemulsification in patients with uncontrolled primary open angle glaucoma. J Med Life 2014;7:11- 6
  2. Hayashi K, Hayashi H, Nakao F, et al. Effect of cataract surgery on intraocular pressure control in glaucoma patients. J Cataract Refract Surg 2001;27:1779-86
  3. Shrivastava A, Singh K. The effect of cataract extraction on intraocular pressure. Curr Opin Ophthalmol 2010;21:118-22
  4. Kronberg BP, Rhee DJ. Anterior segment imaging and the intraocular pressure lowering effect of cataract surgery for open and narrow angle glaucoma. Semin Ophthalmol 2012;27:149-54
  5. Chen PP, Lin SC, Junk AK, et al. The Effect of Phacoemulsification on Intraocular Pressure in Glaucoma Patients: A Report by the American Academy of Ophthalmology. Ophthalmology 2015;122:1294- 307
  6. Shingleton BJ, Pasternack JJ, Hung JW, et al. Three and five year changes in intraocular pressures after clear corneal phacoemulsification in open angle glaucoma patients, glaucoma suspects, and normal patients. J Glaucoma 2006;15:494-8
  7. Kingman S. Glaucoma is second leading cause of blindness globally. Bull World Health Organ 2004;82:887-8
  8. Tham YC, Li X, Wong TY, et al. Global prevalence of glaucoma and projections of glaucoma burden through 2040: a systematic review and meta-analysis. Ophthalmology 2014;121:2081-90
  9. Prum BE Jr, Rosenberg LF, Gedde SJ, et al. Primary Open-Angle Glaucoma Preferred Practice Pattern(®) Guidelines. Ophthalmology 2016;123:41-111
  10. Jonas JB, Budde WM, Panda Jonas S. Ophthalmoscopic evaluation of the optic nerve head. Surv Ophthalmol 1999;43:293-320
  11. Merkur A, Damji KF, Mintsioulis G, et al. Intraocular pressure decrease after phacoemulsification in patients with pseudoexfoliation syndrome. J Cataract Refract Surg 2001;27:528-32
  12. Ritch R, Schlotzer Schrehardt U. Exfoliation syndrome. Surv Ophthalmol 2001;45:265-315
  13. Kuchle M, Amberg A, Martus P, et al. Pseudoexfoliation syndrome and secondary cataract. Br J Ophthalmol 1997;81:862-6
  14. Schlotzer-Schrehardt U, Naumann GO. Ocular and systemic pseudoexfoliation syndrome. Am J Ophthalmol 2006;141:921-37
  15. Tarkkanen AH, Kivela TT. Comparison of primary open-angle glaucoma and exfoliation glaucoma at diagnosis. Eur J Ophthalmol 2015;25:137-9
  16. Elgin U, Sen E, Simsek T, et al. Early Postoperative Effects of Cataract Surgery on Anterior Segment Parameters in Primary Open-Angle Glaucoma and Pseudoexfoliation Glaucoma. Turk J Ophthalmol 2016;46:95