Combined extracapsular cataract extraction with ahmed glaucoma valve implantation in phacomorphic glaucoma.
OBJECTIVE
To report a retrospective analysis of a combined procedure of extracapsular cataract extraction (ECCE) with heparin surface modified (HSM) posterior chamber intraocular lens (PCIOL) implantation along with primary Ahmed glaucoma valve (AGV) implantation in an attempt to optimize visual acuity gains and intraocular pressure (IOP) control in patients with phacomorphic glaucoma.


METHODS
ECCE with HSM PC IOL and AGV implantation was performed through two separate incisions in 15 patients diagnosed with phacomorphic glaucoma. Postoperative improvement in visual acuity and IOP control were monitored.


RESULTS
A steady control of IOP was maintained in all patients with minimum anti-glaucoma medications. The average visual acuity was approximately 6/24 at 3 months.


CONCLUSIONS
Superior preoperative IOP control and a shorter phacomorphic attack resulted in better postoperative vision. The successful maintenance of IOP within the desired range in this study suggests that the procedure should be performed under similar conditions.
Das
Jaya Chandra
JC
Gurunanak Eye Centre, New Delhi, India.
Chaudhuri
Zia
Z
Bhomaj
Sharad
S
Sharma
Pankaj
P
Gupta
Rakesh
R
Chauhan
Deepender
D
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications / Q000628:therapy*; D002387:Cataract Extraction / Q000379:methods*; D020099:Coated Materials, Biocompatible; D005260:Female; D020327:Glaucoma Drainage Implants; D015812:Glaucoma, Angle-Closure / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular / Q000379:methods*; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014792:Visual Acuity
D020099:Coated Materials, Biocompatible