Abstract
The purpose of this study was to evaluate intraocular pressure (IOP) pre- and postoperatively, together with anterior chamber angle (ACA) parameters and biometrical results in cataract patients with or without open angle glaucoma (OAG). The prospective observational case–control study included 15 eyes with cataract and OAG in the glaucoma group and 25 eyes with only cataract in control group. Examination included full ophthalmic evaluation, IOP, ocular biometry and anterior segment optical coherence tomography measuring ACA pre- and 6 months postoperatively. OAG patients had a larger absolute IOP reduction compared to control group. Anterior chamber depth (ACD) and ACA width significantly increased in both groups. The OAG group had a tendency of narrower ACA preoperatively, but overall ACA parameters did not differ in either group pre- and postoperatively. The ACD change after surgery correlated with ACA parameters in the control group, but not in OAG group. Axial length was shorter postoperatively in the control group, but remained similar in the OAG group. Absolute IOP reduction was more pronounced in cataract patients with OAG than in cataract patients without glaucoma. ACD and ACA postoperatively increased in both groups and AL shortening was observed in non-OAG in cataract group.
Highlights
The purpose of this study was to evaluate intraocular pressure (IOP) pre- and postoperatively, together with anterior chamber angle (ACA) parameters and biometrical results in cataract patients with or without open angle glaucoma (OAG)
The purpose of this study was to concurrently evaluate ACA parameters change after cataract surgery, in perspective of IOP and ocular biometry results in cataract patients with or without OAG before and after phacoemulsification and intraocular lens (IOL) implantation to fill in the missing associations between these important physiological biomarkers of risk
In our study IOP change after cataract surgery was more pronounced in OAG cataract patients than in non-OAG cataract patients
Summary
The purpose of this study was to evaluate intraocular pressure (IOP) pre- and postoperatively, together with anterior chamber angle (ACA) parameters and biometrical results in cataract patients with or without open angle glaucoma (OAG). The studies investigating ACA changes in OAG patients typically do not have control groups without glaucoma, and/or were compared with angle closure glaucoma[13, 14, 18, 21]. Another interesting element missing in the current literature is an understanding of IOP change after phacoemulsification and the ability to account for ocular biometrical dynamics in cataract patients with or without OAG. The combined relevance of these factors and OAG risk are high, the literature does not readily have data from published studies investigating all of these interconnected aspects of IOP in cataract patients
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.