Pentacam changes in primary angle-closure glaucoma after different lines of treatment
Autor: | Tharwat H. Mokbel, Abd-Elmonem Elhesy, Ahmed Alnagdy, Mohammed F. Elashri, Ahmed M. Eissa, Walid M. Gaafar, Sherein M. Hagras |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: | |
Zdroj: | International Journal of Ophthalmology, Vol 13, Iss 4, Pp 591-598 (2020) |
Druh dokumentu: | article |
ISSN: | 2222-3959 2227-4898 |
DOI: | 10.18240/ijo.2020.04.10 |
Popis: | AIM: To assess the changes in the anterior chamber parameters using Pentacam following four different lines of treatment of primary angle-closure glaucoma (PACG). METHODS: A retrospective comparative study included 126 patients (126 eye) presented within 24-48h after acute angle-closure glaucoma (AACG). Patients were divided into 2 groups: group A (68 eyes) with controlled intraocular pressure (IOP) ≤21 mm Hg, which included subgroup A1 (34 eyes) with clear lens underwent Nd:YAG laser peripheral iridotomy (LPI) and subgroup A2 (34 eyes) with cataract underwent standard phacoemulsification; and group B (58 eyes) with uncontrolled IOP, which included subgroup B1 (30 eyes) with clear lens underwent trabeculectomy and subgroup B2 (28 eyes) with cataract underwent combined phacoemulsification and trabeculectomy. Patients were followed up for at least 3mo. Primary outcomes were Pentacam anterior segment measurements [anterior chamber angle (ACA) and depth (ACD)]. Secondary outcomes were changes in IOP, visual acuity (VA) and recorded complications. RESULTS: At the 3rd month, there was significant increase in the ACA values in all studied groups compared to preoperative values (P |
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