Phacoemulsification in Angle Closure Glaucoma

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...

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...

Phacoemulsification Versus Combined Phacoemulsification and Viscogonioplasty in Primary Angle-Closure Glaucoma: A Randomized Clinical Trial.

PURPOSE To compare the effect of phacoemulsification (Phaco) versus combined phacoemulsification and viscogonioplasty (Phaco-VGP) on long-term intraocular pressure (IOP) in primary angle-closure glaucoma (PACG). METHODS In this prospective randomized clinical trial, 92 eyes of 82 patients with PACG and coexisting cataract were randomized to undergo Phaco alone (46 eyes) or Phaco-VGP (45 eyes)...

Phacoemulsification Alone versus Phacoemulsification Combined with Trabeculectomy for Primary Angle-Closure Glaucoma

Surgical outcomes of phacoemulsification only and phacoemulsification combined with trabeculectomy were compared in patients with primary angle-closure glaucoma (PACG). Clinical records of 41 consecutive patients were retrospectively reviewed, and there was no difference in best-corrected visual acuity and intraocular pressure preoperatively and at the final follow-up in both study groups. Rega...

Primary Angle Closure Glaucoma