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Automated Perimetry
Carbonic Anhydrase Inhibitors
Intra Ocular Lens Power Calculation and Optic Biometry...
Visual Field Defects in Glaucoma
Visual Field Defect and Retinal Nerve Fiber Layer Defect in a Case of Optic Nerve Head Drusen...
Current Minimal Invasive Angle Procedures Without Implants for the Treatment of Glaucoma...
Intra Ocular Lens Power Calculation and Optic Biometry...
Automated Perimetry
Carbonic Anhydrase Inhibitors
Visual Field Defect and Retinal Nerve Fiber Layer Defect in a Case of Optic Nerve Head Drusen...
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TJ-CEO 2013 , Vol 8 , Num 3
Turkish Abstract Abstract PDF Similar Articles Mail to Author
The Effect of Cataract Surgery on Primary Angle Closure Glaucoma
Pelin ÖZYOL1, Erhan ÖZYOL1
M.D., Unye State Hospital, Eye Clinic, Unye-Ordu/TURKEY Purpose: To evaluate effect of cataract surgery on primary angle closure glaucoma (PACG) and surgical complications.

Materials and Methods: Fifteen eyes of 12 patients with PACG and scheduled for cataract surgery comprised the study group, 15 eyes of 13 patients scheduled for cataract surgery were included as control group in the study. Microcoaxial cataract surgery was performed to all eyes. Anterior chamber depth, angle of anterior chamber, change in intraocular pressure (IOP), number of antiglaucomatous medications, and complications were recorded. Measurements were performed 3 days before, and first, second, third month control after surgery.

Results: While preoperative mean anterior chamber depth in eyes with PACG was 2.21±0.5 mm, it was measured as 3.5±0.4 mm on third month control (p<0.001). The decrease in rate of eyes with grade 0-1 angles, and increase in rate of grade 2-3 angle at 3 months was statistically significant. While the mean corrected IOP was 17.9±3.1 mmHg with topical antiglaucomatous medications, it was 15.9±3.8 mm Hg at 3 months. The mean number of antiglaucomatous medications was detected as 2.1±0.4 preoperatively, and 1.1±0.9 at 3 months. During surgery, in 1 eye zonular dialysis, in 1 eye paracentral endothelial damage occured. In control group, the change in anterior chamber depth was statistically significant (p<0.01), whereas the change in anterior chamber angle, and IOP was not significant (p>0.05).

Conclusion: The quality of life in patients with cataract surgery in eyes PACG can be increased by obtaining lower IOP, necessity of less number of antiglaucomatous medications, and better visual acuity. Keywords : Intraocular pressure, cataract surgery, anterior chamber angle, anterior chamber depth, primary angle closure glaucoma

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