ID 110873
Author
Hata, Hiroko Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
Yamane, Shinta Yamane Eye Clinic
Hata, So Hata Eye Clinic
Shiota, Hiroshi Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
primary phacoemulsification
chronic angle-closure glaucoma
primary angle-closure
cataract
laser iridotomy
Content Type
Journal Article
Description
Purpose : To evaluate effects and safety of primary phacoemulsification plus intraocular lens implantation for controlled chronic angle-closure glaucoma (CACG) or primary angle-closure (PAC). Design : Prospective, non-randomized comparative trial. Methods : Two treatment groups were used. The IOL group included the use of phacoemulsification plus intraocular lens (IOL) implantation in 27 eyes. The LI group included treatment by laser iridotomy (LI) in 23 eyes. Intraocular pressure (IOP), numbers of antiglaucoma medications, complications, and corneal endothelial cell counts were examined in each group. Results : In the IOL group, IOP was significantly reduced from a preoperative mean of 14.8±4.2 mmHg to a 6-month-postoperative mean of 10.8±1.6 mmHg (P <.05). However, in the LI group, mean preoperative IOP was 15.5±4.1 mmHg, and the 6-month-postoperative IOP was 14.7±4.7 mmHg (P = .76). In the IOL group, no patient used anti-glaucoma medications 6-month postoperatively, whereas in the LI group, mean number of anti-glaucoma medications was 0.2±0.4 (P <.05). There were no significant differences in preoperative and postoperative corneal endothelial cell counts between IOL and LI groups (P = .39). Conclusions : Primary phacoemulsification plus intraocular lens implantation for controlled CACG or PAC seems to be a safe and effective method in reducing IOP. This procedure might become the first treatment of choice for controlled CACG or PAC with cataract.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
55
Issue
3-4
Start Page
287
End Page
291
Sort Key
287
Published Date
2008-08
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences