title: Long-term intraocular pressure control after clear corneal phacoemulsification in glaucoma patients.
abstract: OBJECTIVE
  To evaluate long-term IOP control after sutureless clear corneal phacoemulsification in eyes with preoperatively controlled glaucoma.
  
  
  METHODS
  Institutional study.
  
  
  METHODS
  The charts of 345 patients who had uneventful sutureless clear corneal phacoemulsification with acrylic foldable lens (IOL) implantation were retrospectively reviewed. Included were 58 patients with medically controlled open-angle glaucoma and 287 normal controls. Follow-up was 1 to 2 years. Outcome measures were postoperative IOP and number of glaucoma medications.
  
  
  RESULTS
  Postoperatively, there was an insignificant decrease in IOP in the glaucoma group; the mean decrease was 1.5 mm Hg +/- 4.4 (SD) at 12 months and 1.9 +/- 4.9 mm Hg at 24 months. The mean number of medications decreased significantly at 12 months (0.53 +/- 0.86) and at 24 months (0.38 +/- 0.9) (P=.04). The control group also had a significant decrease in IOP, with a mean decrease of 0.72 +/- 3.7 mm Hg at 12 months (P=.01) and 1.33 +/- 3.2 mm Hg at 24 months (P<.0001). The decrease in IOP was more pronounced in eyes with a higher preoperative IOP in both the glaucoma and control groups.
  
  
  CONCLUSIONS
  These findings suggest that sutureless clear corneal phacoemulsification with foldable acrylic IOL implantation is a relatively simple and efficient surgical option in patients with cataract and well-controlled glaucoma. The approach combines long-term IOP control with fewer medications and leads to rapid visual rehabilitation.
authors.affiliation: Department of Ophthalmology, Carmel Medical Center, Haifa, Israel.
authors.forename: Nurit
authors.initials: N
authors.lastname: Mathalone
authors.forename: Michael
authors.initials: M
authors.lastname: Hyams
authors.forename: Sarit
authors.initials: S
authors.lastname: Neiman
authors.forename: Gila
authors.initials: G
authors.lastname: Buckman
authors.forename: Yair
authors.initials: Y
authors.lastname: Hod
authors.forename: Orna
authors.initials: O
authors.lastname: Geyer
mesh_terms: D000180:Acrylic Resins; D000368:Aged; D000369:Aged, 80 and over; D002386:Cataract / Q000150:complications*; D003315:Cornea / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005902:Glaucoma, Open-Angle / Q000150:complications*; D006801:Humans; D007429:Intraocular Pressure; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D018918:Phacoemulsification / Q000379:methods*; D012189:Retrospective Studies; D013536:Suture Techniques
chemical_list: D000180:Acrylic Resins