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Am J Ophthalmol. 2003 Apr;135(4):534-6.

A pilot study of lens extraction in the management of acute primary angle-closure glaucoma.

Author information

1
Xiamen Eye Center, Xiamen, China.

Abstract

PURPOSE:

To describe a pilot study of lens extraction in the management of acute primary angle-closure glaucoma (APACG) in Chinese patients.

DESIGN:

Interventional case series.

METHODS:

A prospective case series of patients presented with APACG at a tertiary eye hospital in Xiamen, China. All the patients had intensive medical treatment followed by immediate phacoemulsification and posterior chamber intraocular lens implantation under topical anesthesia.

RESULTS:

There were 18 patients who were seen with APACG who had phacoemulsification and posterior chamber intraocular lens implantation under topical anesthesia. There was a 9.0-mm Hg drop in mean preoperative and first day postoperative intraocular pressure (22.8 vs 13.8 mm Hg, P =.012) and a 10.2-mm Hg drop in mean preoperative and seventh-day postoperative intraocular pressure (22.8 vs 13.2 mm Hg, P =.002).

CONCLUSIONS:

This pilot study indicates that phacoemulsification and posterior chamber intraocular lens implantation may be useful in the treatment of primary acute angle-closure glaucoma in Chinese patients. Further study with longer follow-up is needed.

PMID:
12654372
DOI:
10.1016/s0002-9394(02)02108-6
[Indexed for MEDLINE]

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