Long-term Intraocular Pressure Elevation after Primary Angle Closure Treated with Early Phacoemulsification
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: To assess long-term changes in intraocular pressure (IOP) and the development of glaucoma after earlyphacoemulsification in acute primary angle closure. Methods: Retrospective chart review of acute primary angle closure patients treated with phacoemulsification inattack eyes versus fellow eyes. Within a month after the angle closure attack, all subjects underwent cataractsurgery and were divided into two groups: group A received cataract surgery on their attack eyes. Group B alsoreceived cataract surgery on their fellow eye after phacoemulsification of the attack eyes. Study outcomes werethe prevalence of IOP rise (occurrence of IOP >21 mmHg) and the incidence of newly developed glaucoma. Results: Eighty-nine eyes were included, with 62 attack eyes in group A and 27 fellow eyes in group B. Group A(14 eyes, 22.58%) had a higher cumulative rate of IOP rise than group B (3 eyes, 11.11%) at 12 months (p = 0.001). Newly developed glaucoma was not observed in group B; however, 6 patients in group A developed glaucomaduring the 12-month follow-up period (p < 0.001). Conclusions: The attack eyes treated with phacoemulsification showed a significantly higher prevalence of IOPrise and newly developed glaucoma than fellow eyes that received phacoemulsification. These findings suggestthat there is a possibility of IOP rise and development of glaucoma even when angle closure and successful IOPcontrol have apparently been achieved after phacoemulsification.
Abstract
Purpose: To assess long-term changes in intraocular pressure (IOP) and the development of glaucoma after earlyphacoemulsification in acute primary angle closure. Methods: Retrospective chart review of acute primary angle closure patients treated with phacoemulsification inattack eyes versus fellow eyes. Within a month after the angle closure attack, all subjects underwent cataractsurgery and were divided into two groups: group A received cataract surgery on their attack eyes. Group B alsoreceived cataract surgery on their fellow eye after phacoemulsification of the attack eyes. Study outcomes werethe prevalence of IOP rise (occurrence of IOP >21 mmHg) and the incidence of newly developed glaucoma. Results: Eighty-nine eyes were included, with 62 attack eyes in group A and 27 fellow eyes in group B. Group A(14 eyes, 22.58%) had a higher cumulative rate of IOP rise than group B (3 eyes, 11.11%) at 12 months (p = 0.001). Newly developed glaucoma was not observed in group B; however, 6 patients in group A developed glaucomaduring the 12-month follow-up period (p < 0.001). Conclusions: The attack eyes treated with phacoemulsification showed a significantly higher prevalence of IOPrise and newly developed glaucoma than fellow eyes that received phacoemulsification. These findings suggestthat there is a possibility of IOP rise and development of glaucoma even when angle closure and successful IOPcontrol have apparently been achieved after phacoemulsification.
참고문헌 (20)
- Quigley HA, "The number of people with glaucoma worldwide in 2010 and 2020", Br J Ophthalmol, 90, pp.262~267 (2006)[DOI]
- Robin AL, "Argon laser peripheral iridotomies in the treatment of primary angle closure glaucoma: long-term follow-up", Arch Ophthalmol, 100, pp.919~923 (1982)[DOI]
- Nolan WP, "YAG laser iridotomy treatment for primary angle closure in east Asian eyes", Br J Ophthalmol, 84, pp.1255~1259 (2000)[DOI]
- Hayashi K, "Changes in anterior chamber angle width and depth after intraocular lens implantation in eyes with glaucoma", Ophthalmology, 107, pp.698~703 (2000)[DOI]
- Melese E, "Comparing laser peripheral iridotomy to cataract extraction in narrow angle eyes using anterior segment optical coherence tomography", PLoS One, 11, pp.e0162283~ (2016)[DOI]
- Shams PN, "Clinical outcomes after lens extraction for visually significant cataract in eyes with primary angle closure", J Glaucoma, 21, pp.545~550 (2012)[DOI]
- Azuara-Blanco A, "Effectiveness of early lens extraction for the treatment of primary angle-closure glaucoma (EAGLE): a randomised controlled trial", Lancet, 388, pp.1389~1397 (2016)[DOI]
- Husain R, "Initial management of acute primary angle closure: a randomized trial comparing phacoemulsification with laser peripheral iridotomy", Ophthalmology, 119, pp.2274~2281 (2012)[DOI]
- Foster PJ, "The definition and classification of glaucoma in prevalence surveys", Br J Ophthalmol, 86, pp.238~242 (2002)[DOI]
- Moghimi S, "Ocular biometry in the subtypes of angle closure: an anterior segment optical coherence tomography study", Am J Ophthalmol, 155, pp.664~673 (2013)[DOI]
- Nonaka A, "Angle widening and alteration of ciliary process configuration after cataract surgery for primary angle closure", Ophthalmology, 113, pp.437~441 (2006)[DOI]
- Hayashi K, "Effect of cataract surgery on intraocular pressure control in glaucoma patients", J Cataract Refract Surg, 27, pp.1779~1786 (2001)[DOI]
- Lai JS, "The clinical outcomes of cataract extraction by phacoemulsification in eyes with primary angle-closure glaucoma (PACG) and co-existing cataract: a prospective case series", J Glaucoma, 15, pp.47~52 (2006)[DOI]
- Rodrigues MM, "Histopathology of 150 trabeculectomy specimens in glaucoma", Trans Ophthalmol Soc U K, 96, pp.245~255 (1976)
- Sihota R, "The trabecular meshwork in acute and chronic angle closure glaucoma", Indian J Ophthalmol, 49, pp.255~259 (2001)
- Mishima K, "Iridotrabecular contact observed using anterior segment three-dimensional OCT in eyes with a shallow peripheral anterior chamber", Invest Ophthalmol Vis Sci, 54, pp.4628~4635 (2013)[DOI]
- Kerman BM, "Angle-closure glaucoma: a clinicopathologic correlation", Am J Ophthalmol, 76, pp.887~895 (1973)[DOI]
- Sacca SC, "The outflow pathway: a tissue with morphological and functional unity", J Cell Physiol, 231, pp.1876~1893 (2016)[DOI]
- Meyer MA, "The effect of phacoemulsification on aqueous outf low facility", Ophthalmology, 104, pp.1221~1227 (1997)[DOI]
- Lam DS, "Randomized trial of early phacoemulsification versus peripheral iridotomy to prevent intraocular pressure rise after acute primary angle closure", Ophthalmology, 115, pp.1134~1140 (2008)[DOI]