Early Phacoemulsification After Acute Angle Closure in Patients With Coexisting Cataract

Abstract

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Anterior segment pars plana vitrectomy combined with posterior capsulorhexis, phacoemulsification and trabeculectomy in treatment of medically uncontrolled acute primary angle-closure glaucoma: A retrospective study

“…The prevalence of APACG in the Asian population is 10.4/100,000 to 12.2/100,000 per year, which is 2 to 5 times higher than that in the European and American populations, [5] and the prevalence is highest in East Asia. [6] APACG episodes were mostly seen in women, [7] which is similar to the findings of the present study. Continuous high IOP leads to increased retinal and optic nerve susceptibility, and the pressure difference between the 2 sides of the lamina cribrosa directly compresses the optic nerve fibers and affects the microcirculation of the optic disc.…”

Case Report: The efficacy of early phacoemulsification in the intraocular pressure control in primary angle closure glaucoma associated with cataract in a young female

“…The presence of a cataractous lens and the risk of iridotrabecular contact persistence with angle closure progression dictated though cataract extraction, which is demonstrated to have more favorable results in similar conditions, despite loss of accommodation 12 . The patient's IOP improved, as it is also described in the literature in other cases, after cataractous lens extraction 12,13 . The patient required no IOP-lowering medication and the first 2 years follow up glaucoma revealed no other glaucomatous damage.…”

Angle, anterior chamber parameters, and intraocular pressure changes after early phacoemulsification in acute angle-closure glaucoma

“…This correlated with the studies by Hellen et al and Jacob et al, where women constituted 80% and 64.9% of the population, respectively. 4,23 In this study, we performed early phacoemulsification in patients of AACG after the control of IOP medically. We compared how lens removal affected the width of the AC angle, AC volume, and ACD by the AS-OCT and Pentacam before and after phacoemulsification.…”

“…Those images prove that the lens is vital for developing angle closure. 4 The typical treatment of AACG involves topical and systemic medications to decline IOP instantly. 5 The authors recommend using the laser peripheral iridotomy (LPI) as the preferred treatment of primary ACG and AACG.…”