Management of phacolytic glaucoma: experience of 135 cases.
Indian J Ophthalmol
;
1998 Sep; 46(3): 139-43
Article
in English
| IMSEAR
| ID: sea-71111
ABSTRACT
We retrospectively analyzed 135 eyes with phacolytic glaucoma. A trabeculectomy was added to standard cataract surgery if symptoms endured for more than seven days, or if preoperative control of intraocular pressure (IOP) with maximal medical treatment was inadequate. In the early postoperative period, IOP was significantly lower in the combined surgery group (89 eyes) compared to the cataract surgery group (46 eyes) (p < 0.001). At 6 months there was no difference in IOP or visual acuity between the two groups. There were no serious complications related to trabeculectomy. It is reasonable to conclude that in eyes with a long duration of phacolytic glaucoma, addition of a trabeculectomy to cataract surgery is safe, prevents postoperative rise in intraocular pressure and decreases the need for systemic hypotensive medications. A randomized trial is on to further address this question.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Cataract
/
Aged, 80 and over
/
Aged
/
Female
/
Humans
/
Male
/
Trabeculectomy
/
Cataract Extraction
/
Visual Acuity
/
Glaucoma, Open-Angle
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Aged80
Language:
English
Journal:
Indian J Ophthalmol
Year:
1998
Type:
Article
Similar
MEDLINE
...
LILACS
LIS