Anterior Chamber Angle and Intraocular Pressure Changes After Eventless Phacoemulsification Surgery in Non-glaucomatous Egyptian Patients
Overview
Affiliations
Purpose: The purpose was to evaluate the angle of the anterior chamber (ACA) and intraocular pressure (IOP) changes following eventless phacoemulsification surgery done for non-glaucomatous Egyptian patients.
Methods: A prospective, interventional study involved 126 cataractous patients undergoing phacoemulsification with intraocular lens implantation. Patients were investigated for ACA and IOP preoperatively and postoperatively at 1 month and 6 months. Anterior chamber angles were evaluated by Scheimpflug camera, and IOP was measured by Goldmann applanation tonometer.
Results: A total of 144 eyes from 126 patients were enrolled: 65 males and 79 females; mean age was 59.72 years. At 6 months after phacoemulsification, there was highly significant decrease in IOP (P = 0) and anterior chamber angle (P = 0). The change in IOP did not correlate statistically with patient age, preoperative IOP, preoperative ACA or ACA widening.
Conclusion: Phacoemulsification reduced significantly IOP which was maintained for 6 months and widened significantly the anterior chamber angle. None of the studied parameters in our study has proved to be a reliable predictive factor to the amount of IOP drop after phacoemulsification.
Mansberger S, Gardiner S, Gordon M, Kass M, Ramulu P Am J Ophthalmol. 2021; 236:53-62.
PMID: 34280363 PMC: 8761780. DOI: 10.1016/j.ajo.2021.07.008.