The Profile and Management of Glaucoma in Adult Aphakic Patients Following Complicated Cataract Surgery
Journal Title: TÜRK OFTALMOLOJİ DERGİSİ - Year 2018, Vol 48, Issue 1
Abstract
Objectives: To determine the profile and clinical course of glaucoma in adult aphakic patients following complicated cataract surgery. Materials and Methods: Retrospective chart review of 22 adult aphakic patients (29 eyes) with glaucoma. Results: Mean age was 57.69±14.18 years when aphakia occurred. Mean age at time of presentation to our glaucoma clinic was 62.57±12.47 years. Mean follow-up time was 42.83±57.04 months. Changes between the first and last follow-up visits were as follows: mean intraocular pressure decreased from 26.21±13.86 mmHg to 18.14±9.63 mmHg (p=0.003); mean number of glaucoma medications used increased from 1.41±1.27 to 2.07±1.04 (p=0.005); and mean vertical cup/disc ratio increased from 0.69±0.25 to 0.78±0.24 (p=0.024). Glaucoma was managed using medications in 26 eyes (89.7%), whereas 3 eyes underwent surgical treatment. However, surgery alone was not sufficient to control intraocular pressure and additional glaucoma medications were needed. Conclusion: Prevention of glaucomatous optic neuropathy in aphakic patients is challenging both medically and surgically. Although a significant decrease in intraocular pressure can be achieved with glaucoma medications, glaucomatous disc changes may progress.
Authors and Affiliations
Ümit Ekşioğlu, Mehmet Yakın, Özgür Balta, Evin Şingar-Özdemir, Hande Hüsniye Telek, Firdevs Örnek, Ilgaz Yalvaç
Keywords
Related Articles
- EP ID EP265519
- DOI 10.4274/tjo.97957
- Views 100
- Downloads 0
Pnömokok Keratitli Bir Olguda Korneal Kolajen Çapraz Bağlama Tedavisi
Bakteriyel keratit, görmeyi tehdit eden ciddi bir oküler enfeksiyöz hastalıktır. Hastalık genelde hızlı seyreder ve doğru tedavi edilmezse korneada skar, stromal apse, perforasyon ve komşu dokulara yayılım görülebilir. S...
Topography and Higher Order Corneal Aberrations of the Fellow Eye in Unilateral Keratoconus
.
Characteristics of Anisometropic Patients with and without Strabismus
Objectives: To evaluate the risk factors for strabismus in patients with anisometropia by comparing degree of anisometropia, depth of amblyopia, and binocular visual function in anisometropic patients with and without st...
Current Therapeutic Approaches to Chronic Central Serous Chorioretinopathy
Central serous chorioretinopathy (CSCR) is the second most common maculopathy after diabetic maculopathy between the third and fifth decades of life. CSCR is characterized by serous neurosensory retinal detachment occasi...
Multimodal Görüntüleme Tekniklerinin İzole Foveal Hipoplazi Tanısındaki Rolü
Tanının doğrulanmasında multimodal görüntüleme tekniklerinin kullanıldığı bir bilateral izole fovea hipoplazisi olgusunu bildirmektir. Fundus otoflöresans görüntüleme, optik koherens tomografi (OKT) ve fundus flöresein a...