ISSN: 1859 - 2872
Complications of phacotrabeculectomy for unresponsive acute primary angle closure glaucoma with cataract
Main Article Content
Keywords
Abstract
Objective: To evaluate the complications of phacotrabeculectomy for unresponsive acute primary angle closure glaucoma (PACG) with cataract. Subject and method: 41 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 phacotrabeculectomy and followed for 1 year. Result: General result was relatively good with IOP complete success of 100%. Intraoperative incidents rate was low (3/41 - 7.31%) mainly hyphema. The rate of postoperative complications was 31.71% which was usually transient without significant sequalae. Female and old patients, patients with longer preoperative acute attack or very shallow AC tended to get more complications (p<0.001). Uncomplicated group seemed to have better quality of IOP control (p=0.02). Conclusion: Phacotrabeculectomy proved to be relatively safe in treating unresponsive acute PACG with cataract.
Article Details
References
2. Chen DZ, Koh V, Sng C, Aquino MC, Chew P (2015) Complications and outcomes of primary phacotrabeculectomy with mitomycin C in a multi-ethnic asian population. PLoS One 10(3): 0118852. doi: 10.1371/journal.pone.0118852.
3. Kirwan JF, Lockwood AJ, Shah P, Macleod A, Broadway DC, King AJ, McNaught AI, Agrawal P (2013) Trabeculectomy Outcomes Group Audit Study Group. Trabeculectomy in the 21st century: A multicenter analysis. Ophthalmology 120(12): 2532-2539. doi: 10.1016/j.ophtha.2013.07.049.
4. Lochhead J, Casson RJ, Salmon JF (2003) Long term effect on intraocular pressure of phacotrabeculectomy compared to trabeculectomy. Br J Ophthalmol 87(7): 850-852.
5. Murthy SK, Damji KF, Pan Y, Hodge WG (2006) Trabeculectomy and phacotrabeculectomy, with mitomycin-C, show similar two-year target IOP outcomes. Can J Ophthalmol 41(1): 51-59. doi: 10.1016/S0008-4182(06)80067-0.
6. Tan YL, Tsou PF, Tan GS, Perera SA, Ho CL, Wong TT, Aung T (2011) Postoperative complications after glaucoma surgery for primary angle-closure glaucoma vs primary open-angle glaucoma. Arch Ophthalmol 129(8): 987-992. doi: 10.1001/ archophthalmol.2011.71.
7. The Advanced Glaucoma Intervention Study (AGIS) (2000) The relationship between control of intraocular pressure and visual field deterioration. The AGIS Investigators. Am J Ophthalmol 130(4): 429-440. doi: 10.1016/s0002-9394(00)00538-9.
Article Sidebar
