AI Summary & Key Takeaways
AI InsightAlthougha significant decrease in intraocular pressure can be achieved with glaucoma medications, glaucomatous disc changes may progress.
📌 3 Key Takeaways
Abstract
Objectives: To determine the profile and clinical course of glaucoma in adult aphakic patients following complicated cataract surgery.Materials and Methods: Retrospective chart review of 22 adult aphakic patients (29 eyes) with glaucoma.Results: Mean age was 57.69±14.18 years when aphakia occurred. Mean age at time of presentation to our glaucoma clinic was62.57±12.47 years. Mean follow-up time was 42.83±57.04 months. Changes between the first and last follow-up visits were as follows:mean intraocular pressure decreased from 26.21±13.86 mmHg to 18.14±9.63 mmHg (p=0.003); mean number of glaucoma medicationsused increased from 1.41±1.27 to 2.07±1.04 (p=0.005); and mean vertical cup/disc ratio increased from 0.69±0.25 to 0.78±0.24(p=0.024). Glaucoma was managed using medications in 26 eyes (89.7%), whereas 3 eyes underwent surgical treatment. However,surgery alone was not sufficient to control intraocular pressure and additional glaucoma medications were needed.Conclusion: Prevention of glaucomatous optic neuropathy in aphakic patients is challenging both medically and surgically. Althougha significant decrease in intraocular pressure can be achieved with glaucoma medications, glaucomatous disc changes may progress.