Elimination of increased risk of acute angle closure glaucoma in eyes with a short anteroposterior axis by preventive phacoemulsification
https://doi.org/10.34215/1609-1175-2023-3-57-61
Abstract
Aim. A clinical analysis of the efficacy of eliminating the risk of acute glaucoma attack by performing preventive minimally invasive cataract surgery in patients at such a risk.
Materials and methods. In total, 70 eyes with a short anteroposterior axis and a thickened lens shape, and an increased risk of acute glaucoma attack were investigated. The main group included 45 patients subjected to preventive phacoemulsification (PE), and the reference group included 25 patients not subjected to PE. According to the position of the ciliary body (middle and posterior), each group was divided into two subgroups. The parameters of lens cross-sectional area (CSA) and anterior chamber cross-sectional area (ACCSA) were studied using B-scan ultrasonography of the anterior eye segment.
Results. On the 2–3rd day after PE, the main group showed an increase in the anterior chamber depth and ACCSA values, along with an opening of the anterior chamber angle (ACA) to grade 3. These indicators remained at the same level by the end of the 4–5 year observation period. After 1–3 years, the reference group demonstrated a statistically significant decrease in the anterior chamber depth and ACCSA values, a narrowing of the ACA width, as well as an increase in intraocular pressure. After 4–5 years, the ACA was completely closed (0°), and the CSA indicator significantly increased.
Conclusion. Immediately after preventive surgery, all patients of the main group showed a statistically significant improvement in the studied parameters, which remained stable following the period of 4–5 years.
About the Authors
E. L. Sorokin
The S. Fyodorov Eye Microsurgery Federal State Institution, the Khabarovsk Branch;
Far Eastern State Medical University
Russian Federation
Russian Federation
Khabarovsk
A. N. Marchenko
The S. Fyodorov Eye Microsurgery Federal State Institution, the Khabarovsk Branch
Russian Federation
Russian Federation
Alexei N. Marchenko, Cand. Sci. (Med.), Head of the Glaucoma Department
211 Tikhookeanskaya str., Khabarovsk, 680033, Russia
phone: 8 (421) 290-56-17
Ya. E. Pashentsev
The S. Fyodorov Eye Microsurgery Federal State Institution, the Khabarovsk Branch
Russian Federation
Russian Federation
Khabarovsk
N. V. Samokhvalov
The S. Fyodorov Eye Microsurgery Federal State Institution, the Khabarovsk Branch
Russian Federation
Russian Federation
Khabarovsk
References
1. Hadiri Kh. Assessment of prognostic coefficients as predictors of primary angle-closure glaucoma development. National Journal glaucoma. 2020;19(1):35–8 (In Russ.). doi: 10.25700/NJG.2020.01.05
2. Egorova EV, Fayzieva US. Phacoemulsification is an operation of choice in primary angle closure glaucoma with block induced by the lens Glaukoma. Zhurnal NII GB RAMN. 2012;(3):36–41 (In Russ.).
3. Marchenko AN, Sorokin EL, Pashentcev YaE. Effectiveness of the system for predicting the risk of developing an acute angle closure glaucoma attack. The Russian Annals of Ophthalmology. 2019;135(1):47–52 (In Russ.). doi: 10.17116/oftalma201913501147
4. Marchenko AN, Sorokin EL, Posvalyuk VD, Danilov OV. Prognostic possibilities revealing high risk factors of phacomorphic glaucoma in individuals with hyperopic refraction. Ophtalmosurgery. 2011;(3):57–62 (In Russ.).
5. Pravosudova MM, Balashevich LI, Efimov OA. Anterior eye chamber changes in patients with primary angle-closure glaucoma after lensectomy. Bulletin of St. Petersburg University. Medicine. 2012;(2):132–9 (In Russ.).
6. Lin MM, Rageh A, Turalba AV, Lee H, Falkenstein IA, Hoguet AS, Ojha P, Rao VS, Ratanawongphaibul K, Rhee DJ, Shen LQ, Song BJ, Chen TC. Differential efficacy of combined phacoemulsification and endocyclophotocoagulation in open-angle glaucoma versus angle-closure glaucoma. J Glaucoma. 2019;28(5):473–80. doi: 10.1097/IJG.0000000000001225
7. Wang N, Jia SB. Phacoemulsification with or without goniosynechialysis for angle-closure glaucoma: a global Meta-analysis based on randomized controlled trials. Int J Ophthalmol. 2019;12(5):826–33. doi: 10.18240/ijo.2019.05.20
8. Tian T, Li M, Pan Y, Cai Y, Fang Y. The effect of phacoemulsification plus goniosynechialysis in acute and chronic angle closure patients with extensive goniosynechiae. BMC Ophthalmol. 2019;19(1):65. doi: 10.1186/s12886-019-1070-9
9. Sorokin EL, Marchenko AN, Pashentsev YE. Phacoemulsification in prevention of acute angle-closure glaucoma attack. The Russian Annals of Ophthalmology. 2022;138(2):37–46 (In Russ.). doi: 10.17116/oftalma202213802137
10. Moghimi S, Latifi G, ZandVakil N, Mohammadi M, Khatibi N, Soltani-Moghadam R, Lin S. Phacoemulsification versus combined phacoemulsification and viscogonioplasty in primary angle-closure glaucoma: a randomized clinical trial. J Glaucoma. 2015;24(8):575–82. doi: 10.1097/IJG.0000000000000196
Review
For citations:
Sorokin E.L., Marchenko A.N., Pashentsev Ya.E., Samokhvalov N.V. Elimination of increased risk of acute angle closure glaucoma in eyes with a short anteroposterior axis by preventive phacoemulsification. Pacific Medical Journal. 2023;(3):57-61. (In Russ.) https://doi.org/10.34215/1609-1175-2023-3-57-61
Views:
195
Email this article 