The Treatment of Primary Angle-Closure Glaucoma with Cataract: A Systematic Review and Meta-Analysis of Randomized Controlled Trails

Xie, Jia; Li, Wan; Han, Bo

doi:10.1007/s40123-022-00639-z

Cited by 4 publications

(3 citation statements)

References 19 publications

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“…A meta-analysis comparing phacotrabeculectomy and phaco+IOL surgeries in PACG patients also yielded similar results. 15 Additionally, the risk of trabeculectomy failure is higher in PACG compared to POAG. 7 , 11 , 15 …”

Section: Discussionmentioning

confidence: 99%

“…The position and thickness of the lens, volume of the anterior chamber, and iris position play a significant role in the pathogenesis of PACG. 1 , 2 , 4 , 7 , 8 , 11 , 15 Therefore, phaco+IOL surgery is highly effective in achieving glaucoma control, especially in cases where coexisting cataracts are present. 1 , 2 , 6 , 12 , 16 Phaco+IOL also leads to a clinically significant reduction in IOP in PACG cases when compared to normal eyes and cases of POAG.…”

Section: Discussionmentioning

confidence: 99%

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The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma

Bayraktar,

Yıldırım Erdal,

Altaş

et al. 2024

tjo

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Objectives: To investigate the effects of phacoemulsification with intraocular lens implantation (phaco+IOL) surgery on intraocular pressure (IOP) and anterior segment parameters in patients with cataract and primary angle-closure glaucoma (PACG). Materials and Methods: Fifty-five patients with PACG undergoing phaco+IOL surgery were evaluated in terms of best corrected visual acuity (BCVA), IOP, anterior chamber depth (ACD), aqueous depth (AD), and lens thickness (LT) measured by optical biometry preoperatively and at the 6-month postoperative visit. They were compared with 34 healthy age-and gender-matched cataract patients who underwent phaco+IOL surgery. Results: Preoperative evaluation revealed higher IOP, shorter axial length, shallower ACD and AD, and greater LT in the PACG group (p<0.001 for all). Postoperative evaluation in the PACG group showed an increase in BCVA, a significant decrease in IOP, an increase in ACD and AD, and a decrease in LT (p<0.001 for all). Additionally, a reduction in the average number of antiglaucomatous medications used postoperatively was observed in the PACG group (p<0.001). The changes in IOP, ACD, AD, and LT between preoperative and postoperative assessments were significantly greater in the PACG group compared to the control group (p<0.0001 for all). Conclusion: Phaco+IOL surgery in PACG patients leads to a significant increase in ACD compared to the control group and allows better control of IOP with fewer antiglaucomatous medications after surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma

Bayraktar,

Yıldırım Erdal,

Altaş

et al. 2024

tjo

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“…Currently, studies have con rmed that ultrasound emulsi cation and intraocular lens (IOL) implantation is more effective in reducing intraocular pressure (IOP) [8][9] . A disposable combined procedure can be used to treat PACG comorbid with cataract, but its e cacy is controversial [10] . However, the different episodes of PACG determine the choice of surgical approach.…”

Section: Introductionmentioning

confidence: 99%

Effect of trabeculectomy in the treatment of primary angle-closure glaucoma combined with cataract: A case control study

Cao,

Ou,

Zhou

et al. 2023

Preprint

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Background Elderly cataract patients usually accompany primary angle-closure glaucoma (PACG), leading to a series of pathophysiological changes in the patient’s eyes. While, the treatment of PACG combined with cataracts remains controversial. Methods A retrospective case control study was conducted. One hundred patients with PACG comorbid with cataract who were treated by phacoemulsification, intraocular lens implantation and trabeculectomy were selected as the study group. And another one hundred patients with PACG comorbid with cataract who were treated by phacoemulsification and intraocular lens implantation were selected as the control group. The intraocular pressure (IOP), best corrected visual acuity (BCVA), corneal endothelial cell density, average cell area, anterior chamber depth, anterior chamber angle width, and surgery complications before and after surgery were compared between the two groups. Results One month and three months after surgery, the IOP and BCVA of the study group were lower than those of the control group (P < 0.05). The corneal endothelial cell density of patients in the two groups at one and three months after operation was lower than that before the operation (P < 0.05), and the average cell area was larger than that before the operation (P < 0.05). There was no significant difference in the depth of the anterior chamber and the width of the anterior chamber angle between the two groups (P > 0.05). The depth and width of the anterior chamber angle in the study group were higher than those of the control at one month and three months after surgery (P < 0.05). The complication rate was lower in the study group than in the control group (P < 0.05). Conclusions Phacoemulsification, intraocular lens implantation and trabeculectomy for the treatment of PACG patients with cataract is effective and safe.

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A paradigm shift in the treatment of refractory angle closure glaucoma in a patient with X-linked juvenile retinoschisis

Senthil

Parameswarappa

Balasubramannian

2023

Ophthalmic Genetics

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The Treatment of Primary Angle-Closure Glaucoma with Cataract: A Systematic Review and Meta-Analysis of Randomized Controlled Trails

Cited by 4 publications

References 19 publications

The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma

The Effects of Lens Extraction Surgery on Intraocular Pressure and Anterior Segment Parameters in Primary Angle-Closure Glaucoma

Effect of trabeculectomy in the treatment of primary angle-closure glaucoma combined with cataract: A case control study

A paradigm shift in the treatment of refractory angle closure glaucoma in a patient with X-linked juvenile retinoschisis

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