Complications of phacotrabeculectomy for unresponsive acute primary angle closure glaucoma with cataract

  • Do Tan National Institute Of Ophthalmology
  • Nguyen Van Cuong 103 Military Hospital

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Keywords

Acute PACG, phacotrabeculectomy, complications

Abstract

Objective: To evaluate the complications of phacoemulsification-goniosynechialysis for unresponsive acute PACG with cataract. Subject and method: 45 eligible eyes were recruited into the study from 3 centers Vietnam National Eye Hospital, Ha Dong Eye Hospital and Eye Department of 103 Military Hospital from 1/2018 to 11/2019. In this prospective interventional study, all eyes were treated with phacoemulsification-goniosynechialysis and followed for 1 year. Result: General result was relatively good with IOP complete success of 100%. Intraoperative incidents rate was low (5/45 - 11.11%) only hyphema. The rate of postoperative complications was 12/45 cases (26.67%) which was usually transient without significant sequalae. Anterior uveitis rate was higher in group of high IOP (> 40mmHg) (p<0.001, test Chi-square). Corneal edema rate was higher in group of shallow anterior chamber depth (p=0.02, test Chi-square), time of process (p=0.04, test Chi-square). Miotic was more frequent in group of high IOP (> 40mmHg) (p<0.001, test Chi-square). Conclusion: Phacoemulsification-goniosynechialysis proved to be relatively safe in treating unresponsive acute PACG with cataract.

Article Details

References

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Published
Jul 28, 2021
DOI: https://doi.org/10.52389/ydls.v16i6.848
Issue
Volume 16 - No 6/2021
Section
Articles
How to Cite
TanD., & CuongN. V. (2021). Complications of phacotrabeculectomy for unresponsive acute primary angle closure glaucoma with cataract. Tạp Chí Y Dược lâm sàng 108, 16(6). https://doi.org/10.52389/ydls.v16i6.848