KMID : 1038920200190010005
|
|
Annals of Optometry and Contact Lens 2020 Volume.19 No. 1 p.5 ~ p.10
|
|
Long Term Effect of Phacoemulsification on Intraocular Pressure in Medically Controlled Primary Open Angle Glaucoma
|
|
Lee Moon-Hyung
Cho Kyong-Jin Park Yuli
|
|
Abstract
|
|
|
Purpose: To investigate the long-term effect of phacoemulsification on intraocular pressure (IOP) in patients with medically controlled primary open-angle glaucoma (POAG).
Methods: This is a retrospective review of 120 eyes with POAG who underwent uncomplicated phacoemulsification with longitudinal follow-up. Demographic, clinical, and biometric variables such as age, axial length, central corneal thickness, gonioscopic results, anterior chamber depth, IOP, number of glaucoma medications were evaluated at 1, 2, 3, and 4 years after surgery.
Results: Postoperative IOP change through 1, 2, 3, and 4 years of -1.47 ¡¾ 2.59, -1.21 ¡¾ 2.48, -1.15 ¡¾ 1.68, and -0.98 ¡¾ 1.53 mmHg was statistically significant (p < 0.01). The number of glaucoma medications remained unchanged (p = 0.18). Higher preoperative IOP was significantly associated with greater postoperative decrease in IOP (p < 0.001). Four years after phacoemulsification, 81.3% of the POAG eyes maintained the same number of glaucoma medications while 14.6% had a decrease and 5.1% of the eyes required additional glaucoma medications.
Conclusions: After 4 years of phacoemulsification in patients with medically controlled POAG resulted in a very small IOP decrease without a change in the number of glaucoma medications. These findings have important implications when considering cataract surgery in POAG eyes for IOP reduction.
|
|
KEYWORD
|
|
Cataract, Intraocular pressure, Phacoemulsification, Primary open angle glaucoma
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|