Visual Prognosis, Intraocular Pressure Control and Complications in Phacomorphic Glaucoma Following Manual Small Incision Cataract Surgery

Overview

Journal Indian J Ophthalmol

Specialty Ophthalmology

Date 2010 Jun 11

PMID 20534920

Citations 13

Authors

R Ramakrishanan

Devendra Maheshwari

Mohideen Abdul Kader

Rita Singh

Neelam Pawar

M Jayahar Bharathi

Affiliations

Soon will be listed here.

Abstract

Aims: To evaluate intraocular pressure (IOP) control, visual prognosis and complications following manual small incision cataract surgery among eyes with phacomorphic glaucoma.

Materials And Methods: This prospective, non-randomized interventional consecutive case series included all patients with phacomorphic glaucoma who presented to a tertiary eye care referral center in South India between March 2006 and April 2007. All patients underwent slit-lamp bio-microscopy, applanation tonometry and gonioscopy of the other eye to rule out angle closure. Small incision cataract surgery with intraocular lens implantation was performed in all affected eyes. Complete ophthalmic examination was done at each follow-up visit.

Results: A total of 74 eyes with phacomorphic glaucoma were included in this study. The preoperative mean IOP was 38.4+/-14.3 mmHg and mean IOP at last follow-up was 12.7+/-2.4 mmHg. There was a statistically significant difference between IOP at presentation and IOP at last follow-up (P< 0.001). None of the eyes required long-term antiglaucoma medication. No significant intraoperative complications were noted. The final postoperative best corrected visual acuity was 20/40 or better in 51 patients. Eighteen eyes had corneal edema and 36 eyes had anterior chamber inflammation. Both conditions resolved with standard medical therapy.

Conclusion: Manual small incision cataract surgery is safe and effective in controlling IOP and achieving good functional visual acuity with minimal complications in the management of phacomorphic glaucoma in developing countries.

Citing Articles

Phacoemulsification in phacomorphic angle closure: Our experience.

Farooq S, Khan N, Meena R, Kochar A Saudi J Ophthalmol. 2023; 37(2):90-93.

PMID: 37492207 PMC: 10365257. DOI: 10.4103/sjopt.sjopt_38_22.

Intricate clinical evaluation and management strategies in vision-threatening phacomorphic glaucoma.

Gurnani B, Kaur K Taiwan J Ophthalmol. 2023; 13(2):259-260.

PMID: 37484623 PMC: 10361441. DOI: 10.4103/2211-5056.353131.

A-Scan Parameters and the Risk of Phacomorphic Glaucoma in the Kazakh Population.

Zhumageldiyeva F, Dzhumataeva Z, Dauletbekov D, Suleymenov M, Utelbayeva Z, Meyermanova Z Medicina (Kaunas). 2022; 58(11).

PMID: 36363501 PMC: 9693825. DOI: 10.3390/medicina58111544.

Complications of manual small-incision cataract surgery.

Goel R, Shah S, Malik K, Sontakke R, Golhait P, Gaonker T Indian J Ophthalmol. 2022; 70(11):3803-3811.

PMID: 36308100 PMC: 9907237. DOI: 10.4103/ijo.IJO_1812_22.

Survival analysis of phacomorphic glaucoma at a tertiary hospital in North India.

Gupta R, Agrawal S, Chauhan L Taiwan J Ophthalmol. 2022; 12(1):61-67.

PMID: 35399964 PMC: 8988979. DOI: 10.4103/tjo.tjo_87_20.

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