Abstract
Twenty-three eyes of 22 consecutive patients with primary chronic angle-closure glaucoma (PCACG) undergoing extracapsular cataract extraction (ECCE) with intraocular lens (IOL) implantation were studied prospectively to assess the effect of ECCE on intraocular pressure (IOP) control. For comparison, a group of 21 eyes with open angle glaucoma (OAG) which had undergone ECCE were reviewed retrospectively. The PCACG group had a low incidence of acute post-operative IOP elevations (9%), and long-term the majority (65%) achieved an IOP <21 mmHg off all glaucoma medications. In the OAG group the IOP control was largely unaffected. We recommend that eyes with cataract and PCACG should be considered for ECCE as a first procedure rather than combined cataract and filtering surgery.
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Wishart, P., Atkinson, P. Extracapsular cataract extraction and posterior chamber lens implantation in patients with primary chronic angle-closure glaucoma: Effect on intraocular pressure control. Eye 3, 706–712 (1989). https://doi.org/10.1038/eye.1989.109
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DOI: https://doi.org/10.1038/eye.1989.109
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