Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure
The management of acute angle closure combined with an extremely shallow anterior chamber and cataract remains complex. This study evaluated a technique of vitreous needle aspiration combined with phacoemulsification for the treatment of acute angle closure with continuous high intraocular pressure...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2021/5528281 |
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| author | Xiaoli Xiang Yuan Chen Jinyu Wang Zhengru Huang Zheng Gu |
| author_facet | Xiaoli Xiang Yuan Chen Jinyu Wang Zhengru Huang Zheng Gu |
| author_sort | Xiaoli Xiang |
| collection | DOAJ |
| description | The management of acute angle closure combined with an extremely shallow anterior chamber and cataract remains complex. This study evaluated a technique of vitreous needle aspiration combined with phacoemulsification for the treatment of acute angle closure with continuous high intraocular pressure (IOP). We retrospectively reviewed the results of vitreous needle aspiration combined with phacoemulsification in 17 eyes (17 patients) with acute angle closure with continuous high IOP and coexisting visually significant cataracts between September 2018 and April 2020 at the glaucoma unit of the affiliated Changshu Hospital of Xuzhou Medical University. The main outcomes were the best corrected visual acuity (BCVA), IOP, anterior chamber depth (ACD), angle open distance 500 (AOD500), number of antiglaucoma medications, and surgery-associated complications. There were no complications during phacoemulsification and a foldable acrylic intraocular lens was implanted in the capsular bag in all 17 patients. For all patients, vitreous needle aspiration was successful at the first attempt. The BCVA improved from 2.02 ± 0.54 logMAR preoperatively to 0.73 ± 0.57 logMAR postoperatively at the final examination (p<0.001). The mean IOP was 54.47 ± 5.33 mmHg preoperatively and 15.59 ± 2.35 mmHg at the final examination (p<0.001) without any medication. The ACD was 1.70 ± 0.16 mm preoperatively and 3.35 ± 1.51 mm at the final examination (p<0.001). The AOD500 was 0.07 ± 0.02 mm preoperatively and 0.51 ± 0.04 mm at the final examination (p<0.001). Our vitreous needle aspiration technique can be performed safely in phacoemulsification for the management of acute angle closure with continuous high IOP. |
| format | Article |
| id | doaj-art-5e80217064e74195876722032d629acf |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-5e80217064e74195876722032d629acf2025-02-03T05:52:38ZengWileyJournal of Ophthalmology2090-004X2090-00582021-01-01202110.1155/2021/55282815528281Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle ClosureXiaoli Xiang0Yuan Chen1Jinyu Wang2Zhengru Huang3Zheng Gu4Department of Ophthalmology, The Affiliated Changshu Hospital of Xuzhou Medical University, Changshu, ChinaDepartment of Ophthalmology, The Affiliated Changshu Hospital of Xuzhou Medical University, Changshu, ChinaDepartment of Ophthalmology, The Affiliated Changshu Hospital of Xuzhou Medical University, Changshu, ChinaDepartment of Ophthalmology, The Affiliated Changshu Hospital of Xuzhou Medical University, Changshu, ChinaDepartment of Ophthalmology, The Affiliated Changshu Hospital of Xuzhou Medical University, Changshu, ChinaThe management of acute angle closure combined with an extremely shallow anterior chamber and cataract remains complex. This study evaluated a technique of vitreous needle aspiration combined with phacoemulsification for the treatment of acute angle closure with continuous high intraocular pressure (IOP). We retrospectively reviewed the results of vitreous needle aspiration combined with phacoemulsification in 17 eyes (17 patients) with acute angle closure with continuous high IOP and coexisting visually significant cataracts between September 2018 and April 2020 at the glaucoma unit of the affiliated Changshu Hospital of Xuzhou Medical University. The main outcomes were the best corrected visual acuity (BCVA), IOP, anterior chamber depth (ACD), angle open distance 500 (AOD500), number of antiglaucoma medications, and surgery-associated complications. There were no complications during phacoemulsification and a foldable acrylic intraocular lens was implanted in the capsular bag in all 17 patients. For all patients, vitreous needle aspiration was successful at the first attempt. The BCVA improved from 2.02 ± 0.54 logMAR preoperatively to 0.73 ± 0.57 logMAR postoperatively at the final examination (p<0.001). The mean IOP was 54.47 ± 5.33 mmHg preoperatively and 15.59 ± 2.35 mmHg at the final examination (p<0.001) without any medication. The ACD was 1.70 ± 0.16 mm preoperatively and 3.35 ± 1.51 mm at the final examination (p<0.001). The AOD500 was 0.07 ± 0.02 mm preoperatively and 0.51 ± 0.04 mm at the final examination (p<0.001). Our vitreous needle aspiration technique can be performed safely in phacoemulsification for the management of acute angle closure with continuous high IOP.http://dx.doi.org/10.1155/2021/5528281 |
| spellingShingle | Xiaoli Xiang Yuan Chen Jinyu Wang Zhengru Huang Zheng Gu Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure Journal of Ophthalmology |
| title | Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure |
| title_full | Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure |
| title_fullStr | Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure |
| title_full_unstemmed | Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure |
| title_short | Vitreous Decompression Combined with Phacoemulsification for Medically Unresponsive Acute Angle Closure |
| title_sort | vitreous decompression combined with phacoemulsification for medically unresponsive acute angle closure |
| url | http://dx.doi.org/10.1155/2021/5528281 |
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