Management of Primary closed angle glaucoma with cataract extraction

1
Management of Primary closed- angle glaucoma
with cataract extraction

• Marija Ana Schwarzbartl Pfeifer,
• Vladimir Pfeifer ,
• Eye Surgery Center dr. Pfeifer,
  Ljubljana,Slovenija
• University Eye Clinic Ljubljana, Slovenia
• ASCRS 2006

2
Methods

• We performed phacoemulsification with foldable
  PC-IOL implantation in 60 eyes with PCAG and
  cataract.
• In case of extremely shallow AC tap vitrectomy
  was performed through pp.
• Healon 5 was used in all cases to enhance
  mydriasis, deepen AC and protect endothelium

3
Methods
GROUP 1 In the first group there were eyes
with primary acute- closed angle glaucoma with
no PAS (peripheral anterior synechiae). 15 eyes
were included in this group.

• GROUP 2
• In the second group there were eyes with primary
  chronic angle closure glaucoma with less than 180
  of PAS.
• 30 eyes were included in this group.

GROUP 3 In the third group there were eyes with
primary chronic angle- closure glaucoma with more
than 180 of PAS seen on gonioskopic
examination. 15 eyes were included in this
group.
4
Results GROUP 1
Follow up time 10.7 months (5-14 months) / 15
eyes
5
Results GROUP 2
Follow up time 15.9 months (9-33 months) / 30 eyes
6
Results GROUP 3
Follow up time 9.6 months (5-25 months) / 15 eyes
7
Conclusion

• We have best results if we perform cataract
  surgery immediately after the first glaucoma
  attack or soon after.
• However, we may prevent glaucoma attack by
  performing cataract surgery even before the first
  glaucoma attack.