| Influence of Lens Factor and Effect of Selected Cataract Extraction on Acute Angle-Closure Glaucoma. |
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Yong Woo Kim, Sang Duk Kim, Jae Duk Kim |
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Department of Ophthalmology, Wonkwang University College of Medicine, Iksan, Korea. mtjiri@wmc.wonkwang.ac.kr |
| 급성 폐쇄각녹내장에서 수정체성요인의 기여도와 선택적 백내장적출술 및 인공수정체삽입술의 효과 |
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김용우,김상덕,김재덕 |
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Department of Ophthalmology, Wonkwang University College of Medicine, Iksan, Korea |
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Correspondence:
Yong-Woo Kim, M.D. |
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| Abstract |
PURPOSE
To analyze the affecting factor of lens in pathogenesis of acute primary angle-closure glaucoma (APACG) and the effect of selected cataract extraction with intraocular lens (IOL) implantation. METHODS: A survey was conducted on 25 eyes of 21 patients with acute angle-closure glaucoma accompanied by senile cataract against 21 eyes of 16 age-matched normal persons. Biometric measurements were made in both groups in order to analyze an affecting factor of lens in APACG. Before and after selected cataract extraction, other clinical findings were also evaluated. RESULTS: Biometric measurements such as anterior chamber depth (ACD), lens thickness (LT), ACD/axial length (AXL), LT/AXL, and relative lens position (RLP) were significantly larger for the 25 eyes of the 21 patients with APACG than the 21 eyes of the 16 age-matched normal persons (P<0.05). After selecting cataract extraction with IOL implantation, improved biometric measurements and clinical findings revealed the effectiveness of that operation. CONCLUSIONS: Selected cataract extraction with IOL implantation could be successful as primary surgery in APACG accompanied by senile cataract over intraocular pressure control and visual acuity improvement for lens factor removal of APACG. |
| Key Words:
Acute primary angle-closure glaucoma (APACG);Lens factor;Selected cataract extraction with intraocular lens implantation |
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