Ten-year outcomes of cataract surgery for glaucoma management in patients with primary angle-closure disease.
Cataract surgery
Lens extraction
Long-term outcome
Primary angle-closure disease
Primary angle-closure glaucoma
Journal
Japanese journal of ophthalmology
ISSN: 1613-2246
Titre abrégé: Jpn J Ophthalmol
Pays: Japan
ID NLM: 0044652
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
received:
08
08
2022
accepted:
17
11
2022
pubmed:
24
12
2022
medline:
16
3
2023
entrez:
23
12
2022
Statut:
ppublish
Résumé
To investigate the long-term outcomes of cataract surgery for glaucoma management in patients with primary angle-closure disease (PACD). Retrospective case series. We reviewed the medical records of 87 eyes of 87 patients with PACD who underwent uncomplicated cataract surgery alone at the Kobe City Medical Center General Hospital. Only patients with a minimum follow-up of 10 years were included. The patients were divided into PACD spectrum categories: primary angle-closure glaucoma (PACG), primary-angle closure (PAC), and primary angle-closure suspect (PACS). The treatment outcomes were compared among the 3 groups. Intraocular pressure (IOP), number of glaucoma eye drops, requirement of additional glaucoma treatment, visual field progression, and progression to glaucoma during the follow-up period were evaluated. Among the 87 patients, 39 had PACG; 26, PAC; and 22, PACS. Ten years after surgery, the IOP had significantly decreased from baseline in all 3 groups. The rate of requirement of additional glaucoma treatment during the follow-up period was significantly higher in the PACG group than in the other groups. Almost half of the patients with PACG required additional glaucoma treatment; of those patients, six (15.4%) underwent glaucoma surgery. Three patients (11.5%) with PAC required additional glaucoma medication. Visual field progression was observed in 28.1% of the patients with PACG. In 1 patient with PAC, the condition progressed to PACG, but there was no such progression in any of the patients with PACS. We confirmed that cataract surgery had a long-term (> 10 years) effect on IOP reduction in eyes with PACD. Early intervention with cataract surgery may be preferable for glaucoma management in patients with PACD.
Identifiants
pubmed: 36564597
doi: 10.1007/s10384-022-00971-8
pii: 10.1007/s10384-022-00971-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
129-137Informations de copyright
© 2022. Japanese Ophthalmological Society.
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