A pilot study of lens extraction in the management of acute primary angle-closure glaucoma

Am J Ophthalmol. 2003 Apr;135(4):534-6. doi: 10.1016/s0002-9394(02)02108-6.

Abstract

Purpose: To describe a pilot study of lens extraction in the management of acute primary angle-closure glaucoma (APACG) in Chinese patients.

Design: Interventional case series.

Methods: A prospective case series of patients presented with APACG at a tertiary eye hospital in Xiamen, China. All the patients had intensive medical treatment followed by immediate phacoemulsification and posterior chamber intraocular lens implantation under topical anesthesia.

Results: There were 18 patients who were seen with APACG who had phacoemulsification and posterior chamber intraocular lens implantation under topical anesthesia. There was a 9.0-mm Hg drop in mean preoperative and first day postoperative intraocular pressure (22.8 vs 13.8 mm Hg, P =.012) and a 10.2-mm Hg drop in mean preoperative and seventh-day postoperative intraocular pressure (22.8 vs 13.2 mm Hg, P =.002).

Conclusions: This pilot study indicates that phacoemulsification and posterior chamber intraocular lens implantation may be useful in the treatment of primary acute angle-closure glaucoma in Chinese patients. Further study with longer follow-up is needed.

Publication types

  • Clinical Trial

MeSH terms

  • Acute Disease
  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Glaucoma, Angle-Closure / physiopathology
  • Glaucoma, Angle-Closure / surgery*
  • Humans
  • Intraocular Pressure / physiology
  • Lens Implantation, Intraocular*
  • Male
  • Middle Aged
  • Phacoemulsification*
  • Pilot Projects
  • Prospective Studies