The Change of Intraocular Pressure after Extracapsular Cataract Extraction in Patients with Angle-closure Glaucoma. |
Sang Hyup Lee, Seung Youn Jea |
Department of Ophthalmology, College of Medicine, Pusan National University, Korea. |
폐쇄각녹내장 환자에서 백내장 적출술 후 안압의 변화 |
이상협(Sang Hyup Lee),제승연(Seung Youn Jea) |
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Abstract |
We evaluated the effect of cataract extraction on the intraocular pressure(IOP)in patients with cataract and angle closure glaucoma. We divided the patients into two groups, one of which underwent trabeculectomy(group 1), and the other control(group 2). Also, we assessed the effect of peripheral anterior synechiolysis performed during the cataract extraction on IOP. There was a significant difference between the preoperative IOP of two groups, but no difference was noted until 6 months after the operation. However the difference became significant afterwards. IOP reduction was more significant after the synechiolysis in group 2, but no difference was found in group 1. It is thought that the IOP decrease can be achieved by cataract extraction only in chronic angle closure glaucoma. but the effect may not be maintained. Synechiolysis may be helpful to further decrease in IOP after cataract extraction only. |
Key Words:
Angle-closure glaucoma;Extracapsular cataract extraction;Intraocular pressure;Trabeculectomy |