Role of lens extraction and laser peripheral iridotomy in treatment of glaucoma

Pose-Bazarra, Sara; Azuara‐Blanco, Augusto

doi:10.1097/icu.0000000000000435

Cited by 7 publications

(2 citation statements)

References 41 publications

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“…Glaucoma surgeries at our center included glaucoma filtration surgeries (trabeculectomy, glaucoma drainage device implantation, and ExPRESS mini-shunt implantation), transscleral cyclophotocoagulation (TSCPC), bleb needling, Trabectome procedures, iTrack-assisted Schlemm's canal surgery (AB-interno canaloplasty and gonioscopy-assisted transluminal trabeculotomy), and KDB procedures. A growing number of glaucomatous patients underwent cataract surgeries, either alone or combined with glaucoma procedures, due to their effectiveness in lowering IOP in patients with or without angle closure [11][12][13] . Therefore, lens-related surgeries were included in this study.…”

Section: Introductionmentioning

confidence: 99%

Trends in operating room-based glaucoma procedures at a single eye center from 2016–2020

Zhang¹,

Suo²,

Li³

et al. 2023

Int J Ophthalmol

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AIM: To evaluate trends in glaucoma procedures at the Peking University Eye Center in 2016–2020. METHODS: A retrospective search of all glaucoma procedures performed at our institution were performed. Data were analyzed by calculating the absolute numbers and relative weightage of each procedure per year. RESULTS: The average age of glaucoma patients undergoing surgical procedures was 62.33±17.87y, and 55% were women. From 2016 to 2019, the number of surgical procedures performed in glaucoma patients showed an overall upward trend from 749 to 1460, although it decreased slightly in 2020 (n=1393), probably due to the COVID-19 pandemic. The number of trabeculectomies did not change significantly in 2016 (n=161) to 2018 (n=164) but decreased in 2019 (n=139) to 2020 (n=121), indicating a reduction in its relative weightage among glaucoma procedures (from 21.50% to 8.69%). The number of glaucoma drainage device implantations and minimally invasive glaucoma surgeries both increased (50 and 58 respectively in 2019), except in 2020. The number of transscleral cyclophotocoagulation procedures was relatively stable, increasing until 2017 (n=218) and then decreasing. Cataract surgeries with or without glaucoma procedures accounted for a large number of the total surgeries, increasing from 247 (32.97%) in 2016 to 967 (69.42%), among which cataract extraction combined with goniosynechialysis was the most frequent. CONCLUSION: The overall increase in the number of operating room-based surgical procedures is significant. Trabeculectomy is one of the most commonly performed procedures, despite the relative decline in its weightage. Other procedures, including use of glaucoma drainage devices and mini shunts and minimally invasive glaucoma surgeries, are gaining greater acceptance. Notably, lens-related surgery plays an important role in glaucoma management.

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Section: Introductionmentioning

confidence: 99%

Trends in operating room-based glaucoma procedures at a single eye center from 2016–2020

Zhang¹,

Suo²,

Li³

et al. 2023

Int J Ophthalmol

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show abstract

“…However, a prospective, multicenter, randomized, controlled study called the EAGLE (Effectiveness in Angle-closure Glaucoma of Lens Extraction) protocol, including 155 primary angle closure and 263 primary angle-closure glaucoma cases, stated that clear lens extraction was more efficacious and cost-effective than LPI [7]. Many later reports have also shown IOP reduction after PE surgery in PAC and PACG cases with cataracts or clear lenses [6,8,9].…”

Section: Introductionmentioning

confidence: 99%

Phacoemulsification Results of Eyes with Primary Angle Closure and Primary Angle Closure Glaucoma Using the Pentacam System

Ün

Comerter²

2022

Acta Medica

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Aim: To evaluate the phacoemulsification results of patients with primary angle closure (PAC) and primary angle closure glaucoma (PACG) using the Pentacam system. Method: This retrospective cohort study included patients with PAC and PACG who underwent phacoemulsification and intraocular lens implantation between 2018 and 2021 in one tertiary center. Anterior chamber parameters measured using the Pentacam system and gonioscopic and intraocular pressure (IOP) changes were evaluated preoperatively and postoperatively. Results: Nineteen eyes of 13 patients with PAC and PACG were included in the study. The mean age of the patients was 63.2 years, and 30.8% were male. The mean preoperative and postoperative third-month IOP was 21.0 ± 7.4 mmHg (11-40) and 13.7± 2.5 mmHg (9-18), respectively (p < 0.01). The mean preoperative anterior chamber angle (ACA) measured by the Pentacam system was 21.07 ± 4.16° (13-27). The mean preoperative anterior chamber depth (ACD) and the anterior chamber volume (ACV) measured by the Pentacam system were 1.79 ± 0.24 mm (1.39-2.22) and 72.55 ± 20.64 mm3 (45-109), respectively. The postoperative third-month topographic measurements were as follows: mean angle, 35.76 ± 7.32° (20.1-46.9); mean ACD, 3.52 ± 0.95 mm (1.15-4.46); and mean ACV, 133.21 ± 25.21 mm3 (81-173) (p < 0.01). Conclusion: Pentacam is a useful system to evaluate anterior segment changes after phacoemulsification in patients with PAC and PACG. Phacoemulsification was found to result in significant IOP reduction in these patients.

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Factors defining the intraocular pressure-lowering effect of phacoemulsification and laser peripheral iridotomy in patients with primary angle closure

et al. 2023

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Role of lens extraction and laser peripheral iridotomy in treatment of glaucoma

Abstract: Evidence from the assessed period supports the IOP-lowering effect of cataract surgery in people with coexisting cataract and glaucoma. CLE is an option in the initial treatment of some patients with PACG as its superiority has been demonstrated against LPI.

Cited by 7 publications

References 41 publications

Trends in operating room-based glaucoma procedures at a single eye center from 2016–2020

Trends in operating room-based glaucoma procedures at a single eye center from 2016–2020

Phacoemulsification Results of Eyes with Primary Angle Closure and Primary Angle Closure Glaucoma Using the Pentacam System

Factors defining the intraocular pressure-lowering effect of phacoemulsification and laser peripheral iridotomy in patients with primary angle closure

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