Phacoemulsification using iris hooks and scleral fixation of the intraocular lens in patients with secondary glaucoma associated with lens subluxation.
Ma K T, Lee H K, Seong G J, Kim C Y
AI Summary
This study found that phacoemulsification with iris hooks and scleral-fixated IOL safely and effectively improved vision and controlled IOP in secondary glaucoma from lens subluxation.
Abstract
Purpose
We described the techniques and results of phacoemulsification using iris hook and scleral fixation of intraocular lens (IOL) in patients with secondary glaucoma associated with lens subluxation.
Methods
Eight eyes of seven patients with secondary glaucoma associated with lens dislocation, who had undergone the surgery, were retrospectively reviewed.
Results
At a mean of 23.5 months+/-13.6 (SD) after the surgery, the mean best-corrected visual acuity improved from 0.24+/-0.21 to 0.83+/-0.3, and mean intraocular pressure (IOP) was changed from 38.4+/-11.4 to 15.5+/-1.8 mmHg at the final examination. There were no vitreoretinal complications except cystoid macular oedema in one eye.
Conclusion
The technique appears to be safe and effective in terms of visual rehabilitation and controlling IOP in patients with secondary glaucoma associated with lens subluxation.
MeSH Terms
Shields Classification
Related Articles5
Comparison of Cataract Surgery Alone Versus Cataract Surgery Combined With Trabeculectomy in the Management of Phacomorphic Glaucoma.
Case SeriesTrabeculectomy first in pseudophakic eyes requiring surgery for medically-uncontrolled glaucoma.
Observational StudyManagement of coincident cataract and glaucoma.
ReviewCombined surgery for glaucoma and cataract.
ReviewSurgical consequences in coexisting cataract and glaucoma.
ReviewIs this article assigned to the wrong chapter(s)? Let us know.