Early phacoemulsification in patients with acute primary angle closure

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Early phacoemulsification in patients with acute primary angle closure

PURPOSE To compare long term efficacy of phacoemulsification in the early management of acute primary angle closure (APAC) after aborting an acute attack and performing laser peripheral iridotomy (LPI). METHODS In this nonrandomized comparative prospective study, we included 35 subjects presenting with APAC who had responded to medical treatment and LPI with intraocular pressure (IOP) less th...

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The Biometric Values of Affected and Fellow Eyes in Patients with Acute Attack of Primary Angle Closure

Background: It has been estimated that 67 million people worldwide are affected with a primary glaucoma and that one-third have primary angle closure glaucoma. We aimed to determine the biometric differences between the eyes of patients with acute attack of primary angle closure and their non-involved fellow eyes. Methods: Twenty eight patients with acute attack of primary angle closure were re...

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Small-incision phacotrabeculectomy versus phacoemulsification in refractory acute primary angle closure with cataract

BACKGROUND Acute primary angle closure (PAC) can be refractory to conventional treatment and intraocular pressure (IOP) is beyond control. Surgical intervention should be considered at the moment. The aim of the study was to compare small-incision phacotrabeculectomy (phacotrab, small-incision trabeculectomy combined with phacoemulsification) with phacoemulsification (phaco) in patients with re...

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Phacoemulsification in Angle Closure Glaucoma

Phacoemulsification in angle closure can be challenging. Many factors, including large lens, small pupil and a narrow working space in the anterior chamber, contribute towards an increased level of difficulty. Angle closure eyes are also often associated with increased risk of complications such as malignant glaucoma and suprachoroidal hemorrhage. For the inexperienced or the unsuspecting, phac...

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Combined phacoemulsification and viscogoniosynechialysis in primary angle-closure glaucoma

The treatment of primary angle-closure glaucoma (PACG) at an early stage prevents a proportion of PACG-related blindness. Several techniques are available with different degrees of success. Trabeculectomy augmented by antifibrotic agents represents the mainstay of glaucoma surgery, but safety and efficacy are suboptimal; phacotrabeculectomy is associated with more postoperative complications; a...

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ژورنال

عنوان ژورنال: Journal of Current Ophthalmology

سال: 2015

ISSN: 2452-2325

DOI: 10.1016/j.joco.2015.12.001