Factors predicting intraocular pressure control after phacoemulsification in angle-closure glaucoma

Catherine Jui Ling Liu, Ching Yu Cheng, Chih Wei Wu, Ling Ing Lau, Joe C. Chou, Wen Ming Hsu

研究成果: 雜誌貢獻文章同行評審

55 引文 斯高帕斯(Scopus)

摘要

Objectives: To investigate whether the presence of glaucomatous optic neuropathy affects the reduction of intraocular pressure (IOP) after phacoemulsification in postiridotomy eyes with primary narrow angles, and to evaluate the preoperative factors associated with postoperative IOP control in primary angle-closure glaucoma (PACG). Methods: Patients with PACG undergoing phacoemulsification were prospectively enrolled and received a complete ophthalmic examination. Diurnal IOP was measured 1 day before and 3 months after surgery. For comparison, patients with primary angle closure or angle closure suspect (PAC/S) undergoing phacoemulsification were also enrolled. Results: Postoperative reduction of IOP was significant in the PACG group (n=29; P=.001) and in the PAC/S group (n=28; P<.001), with no significant difference between the groups. The number of glaucoma medications used decreased in both groups (both, P<.001). Multiple regression analysis for the PACG group showed that there was a positive correlation between postoperative IOP and preoperative factors of mean IOP (P=.001) and the anterior chamber depth (P=.03). Conclusions: The reduction of IOP 3 months after phacoemulsification is significant and is similar in extent in postiridotomy eyes with and without glaucomatous optic neuropathy. Ahigher postoperative IOP inPACGis associated with a higher preoperative IOP and with a deeper preoperative anterior chamber depth.

原文英語
頁(從 - 到)1390-1394
頁數5
期刊Archives of Ophthalmology
124
發行號10
DOIs
出版狀態已發佈 - 2006
對外發佈

ASJC Scopus subject areas

  • 眼科

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