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KMID : 1038920160150030086
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Annals of Optometry and Contact Lens
2016 Volume.15 No. 3 p.86 ~ p.91
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The Factors Affecting the Intraocular Pressure Change after Cataract Surgery in Angle-Closure Glaucoma
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Kim Tae-Hoon
Kim Jung-Lim
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Abstract
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Purpose: To evaluate the change of intraocular pressure (IOP) after cataract surgery in patients with angle-closure glaucoma (ACG) and to determine the factor that associated with the change in IOP.
Methods: Charts of patients with ACG who had cataract surgery between 2010 and 2014 were reviewed. Data included preoperative and postoperative IOP, anterior chamber depth (ACD), axial length (AXL), laser peripheral iridectomy (LI) history, acute angle closure glaucoma (AACG) attack history. The change of IOP was divided into two groups based on mean change of IOP (greater than mean change and lesser than mean change) and compared the variable of the two groups. The postoperative IOP was measured at 2 months after cataract surgery.
Results: Total 51 eyes were reviewed. The mean preoperative IOP was was 16.4 mmHg and mean reduction IOP was 2.5 mmHg. Based on this mean IOP reduction, we divide the change of IOP into 2 groups (greater than 3 mmHg or lesser than 3 mmHg) and there was an only variable, preoperative IOP that statistically associated with greater reduction of IOP. There was no significant correlation between the amount of IOP reduction and the other preoperative factors, including sex, age, ACD, AXL, AACG attack history and LI history.
Conclusions: Cataract surgery reduced IOP in patients with ACG. Only Preoperative IOP was statistically correlated with the amount of IOP reduction, and there was no significant correlation between the amount of IOP reduction and the other preoperative factors, including sex, age, ACD, AXL, AACG attack history and LI history.
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KEYWORD
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Cataract surgery, Glaucoma, Angle?closure, Intraocular pressure
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