Primary phacoemulsification for uncontrolled angle-closure glaucoma

J Cataract Refract Surg. 2000 Jul;26(7):1012-6. doi: 10.1016/s0886-3350(00)00358-8.


Purpose: To report the results of primary phacoemulsification to treat uncontrolled angle-closure glaucoma.

Setting: Private practice and teaching hospital department.

Methods: This retrospective interventional case series assessed 3 patients having phacoemulsification and posterior chamber intraocular lens implantation for uncontrolled intraocular pressure (IOP) after acute primary angle-closure glaucoma.

Results: Intraocular pressure control was achieved in all patients postoperatively.

Conclusions: Primary phacoemulsification with the option of future trabeculectomy should be considered in selected patients with persistent appositional angle closure and uncontrolled IOP after angle-closure glaucoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cell Count
  • Disease Progression
  • Endothelium, Corneal / pathology
  • Female
  • Glaucoma, Angle-Closure / pathology
  • Glaucoma, Angle-Closure / physiopathology
  • Glaucoma, Angle-Closure / surgery*
  • Humans
  • Intraocular Pressure*
  • Male
  • Middle Aged
  • Phacoemulsification*
  • Severity of Illness Index
  • Visual Acuity