Journal of the Korean Ophthalmological Society 1998;39(6):1170-1175.
Published online June 1, 1998.
Changes of Preoperative and Postoperative Anterior Chamber Angle in Phacoemulsification and Planned Extracapsular Cataract Extraction.
Hee Jong Lee, Sung Kun Chung, Nam Ho Baek
Department of Ophthalmology, St. Mary`s Hospital, School of Medicine, The Catholic University ofKorea, Seoul, Korea.
수정체유화술과 계획적 백내장낭외적출술에 있어서 술전 및 후의 전방각 변화
이희종(Hee Jong Lee),정성근(Sung Kun Chung),백남호(Nam Ho Baek)
Abstract
To compare the preoperative and postoperative anterior chamber (AC) angle in cataract surgery, we performed phacoemulsification followed by posterior chamber intraocular lens (PCIOLs) implantation with 20 eyes (Group I) and planned extracapsular cataract extraction (p,ECCE) followed by PCIOLs implantation with 20 eyes (Group I). After that, we measured prospectively the preoperative and postoperative AC angle 1, 3, 7, 30 and 60 days by using a Scheimpflug camera. The preoperative mean values of AC angle were 3 1.25 3. 47 in Group I and 30. 58+/-4. 42` in Group I. The mean deepening of the AC angle was 3.24` in Group ! and 3.30` in Group n , the charnber angle quotient. was 1.10 in Group 1 and 1.15 in Group I at the postoperative one day. There was statistically significant difference (P<0.01). At postoperative third day, AC angle increase was 3.00` and 2.35`, AC angle quotient was 1.09 and 1.97 respectively (P<0.01). There was slight increase at postoperative 7, 30 and 60 day, but no significant difference between Group 1 and Group I was noted in change of AC angle (P>0. 5). Based on these results, the deepening of AC angle after cataract surgery may be considered for cataract. extraction and posterior displacement of PCIOLs due to anterior angulation of PCIOLs haptics.
Key Words: Anterior chamber angle;Phacoernulsification;Planned extra-capsular cataract extraction;Scheimpflug camera


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