[Cataract extraction including posterior chamber lens implantation in the treatment of acute glaucoma].
OBJECTIVE
The aim of this study was to compare phacoemulsification in eyes with angle-closure glaucoma to the partner eyes with or without iridectomy or laser iridotomy, respectively.


METHODS
Twelve eyes with an elevated intraocular pressure due to an angle closure that were treated by phacoemulsification and IOL implantation were compared with 12 partner eyes with narrow angle and iridectomy or iridotomy without intraocular pressure elevation and cataract extraction. The average follow-up period was 15.7+/-2.1 months.


RESULTS
The average intraocular pressure in eyes with angle-closure glaucoma was 54.1+/-14.7 mmHg and in the partner eyes 22.4+/-8.6 mmHg preoperatively. Follow-up pressure was 19.3+/-2.0 mmHg in eyes with angle-closure glaucoma and 18.8+/-1.5 mmHg in the partner eyes.


CONCLUSIONS
Primary cataract extraction including posterior chamber lens implantation into eyes with angle-closure glaucoma reduced intraocular pressure to normal levels, increased visual acuity, and decreased the number of antiglaucomatous drugs. Eyes with angle-closure glaucoma do not respond differently to phacoemulsification and lens implantation compared to eyes with narrow angle without pressure elevation during and after phacoemulsification.
Bleckmann
H
H
Augenzentrum des DRK-Klinikums Westend, Akademisches Lehrkrankenhaus der Humbold-Universität, Spandauer Damm 130, 14050 Berlin. Prof.Dr.H.Bleckmann@t-online.de
Keuch
R
R
D000368:Aged; D002387:Cataract Extraction / Q000379:methods*; D048988:Corneal Surgery, Laser / Q000379:methods*; D005260:Female; D015812:Glaucoma, Angle-Closure / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D032801:Iridectomy / Q000379:methods*; D019654:Lens Implantation, Intraocular / Q000295:instrumentation / Q000379:methods*; D008297:Male; D020127:Recovery of Function; D016896:Treatment Outcome