Long-term therapeutic efficacy of phacoemulsification with intraocular lens implantation in patients with phacomorphic glaucoma.
OBJECTIVE
To evaluate the long-term therapeutic efficacy of phacoemulsification with intraocular lens (IOL) implantation in treating phacomorphic glaucoma.


METHODS
Ophthalmology Department, Maryknoll Hospital, Busan, Korea.


METHODS
This study evaluated eyes that had phacoemulsification with IOL implantation to treat phacomorphic glaucoma. Intraocular pressure (IOP), corrected distance visual acuity (CDVA), and anterior chamber depth (ACD) were measured preoperatively and postoperatively. The minimum follow-up was 48 months.


RESULTS
The mean IOP in the 26 eyes was 49.0 mm Hg +/- 10.4 (SD) (range 31 to 70 mm Hg) preoperatively and 13.2 +/- 2.8 mm Hg (range 8 to 20 mm Hg) 48 months postoperatively (P<.0001, paired t test). No eye had increased IOP over the follow-up. The postoperative IOP was significantly lower 1 day postoperatively (P<.000, paired t test). The improvement in CDVA was statistically significant from 1 week postoperatively (P<.0001, paired t test). The CDVA improved postoperatively except in 1 eye with a preoperative acuity of no light perception. The CDVA was 20/50 or better in 16 eyes (61.5%). Preoperatively, the ACD was shallow (mean 1.5 +/- 0.3 mm) because of the swollen lens; the mean postoperative ACD was 2.6 +/- 0.1 mm; the increase was statistically significant. The mean preoperative ratio of lens thickness to axial length was 0.25 +/- 0.01, indicating a shallow ACD. In 1 eye, peripheral anterior synechias were seen on gonioscopy immediately after surgery; the eye required continuous postoperative medication for IOP control.


CONCLUSIONS
Phacoemulsification with IOL implantation was effective in treating phacomorphic glaucoma.
Lee
Soo Jung
SJ
Department of Ophthalmology, Maryknoll Hospital, College of Medicine, Inje University, Busan, Korea.
Lee
Chang Kyu
CK
Kim
Wan-Soo
WS
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000867:Anterior Chamber / Q000473:pathology; D002386:Cataract / Q000150:complications; D004108:Dilatation, Pathologic; D005260:Female; D005500:Follow-Up Studies; D015812:Glaucoma, Angle-Closure / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D019654:Lens Implantation, Intraocular; D007908:Lens, Crystalline / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D019591:Pseudophakia / Q000503:physiopathology; D012189:Retrospective Studies; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology