Phacoemulsification: an alternative for prophylaxis of a glaucomatous crisis

Ricardo Alexandre Stock, Mariéli Wobeto Röhrig, Camila Duranti Mezzomo, Elcio Luiz Bonamigo Medical School of the University of the West of Santa Catarina (Universidade do Oeste de Santa Catarina – UNOESC), Joaçaba, SC, BrazilCorrespondence: Ricardo Alexandre...

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Autores principales:	Stock RA, Röhrig MW, Mezzomo CD, Bonamigo EL
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Intraocular pressure Glaucoma Angle-closure glaucoma Phacoemulsification Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3bea8e5b06dd4ba78271f7fbc3c73d4b
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spelling	oai:doaj.org-article:3bea8e5b06dd4ba78271f7fbc3c73d4b2021-12-02T01:54:19ZPhacoemulsification: an alternative for prophylaxis of a glaucomatous crisis1177-5483https://doaj.org/article/3bea8e5b06dd4ba78271f7fbc3c73d4b2019-09-01T00:00:00Zhttps://www.dovepress.com/phacoemulsification-an-alternative-for-prophylaxis-of-a-glaucomatous-c-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Ricardo Alexandre Stock, Mariéli Wobeto Röhrig, Camila Duranti Mezzomo, Elcio Luiz Bonamigo Medical School of the University of the West of Santa Catarina (Universidade do Oeste de Santa Catarina – UNOESC), Joaçaba, SC, BrazilCorrespondence: Ricardo Alexandre StockMedical School, Universidade do Oeste de Santa Catarina, Belotto Stock Centro Oftalmológico, Rua Rio Branco, 589, Centro, CEP: 89.600-000, Joaçaba, SC, BrazilTel +55 493 522 0788Fax +55 493 522 5059Email ricardostockreal@gmail.comPurpose: To evaluate the effectiveness of phacoemulsification for the prophylaxis of a glaucomatous crisis in the affected and contralateral eyes; to investigate the evolution of intraocular pressure levels after iridotomy and phacoemulsification; to assess the need for antiglaucoma medication after the proposed treatments; and to identify potential complications associated with phacoemulsification.Patients and methods: This retrospective observational study evaluated 22 eyes of 12 patients between September 2006 and September 2018, with a minimum follow-up period of 9 months.Results: After iridotomy, a persistent increase in intraocular pressure was observed in 42.85% of the cases, 100% of the patients required antiglaucoma medications, and recurrence of angle closure was observed in 28.57% of the cases. In contrast, during follow-up of phacoemulsification, the intraocular pressure levels in all eyes evaluated remained normal, without the need for medication, and no recurrence of the glaucomatous crisis or other complications was observed.Conclusion: Phacoemulsification maybe consequently more effective than laser iridotomy for the resolution of angle-closure glaucoma and particularly for preventing its relapses.Keywords: intraocular pressure, glaucoma, angle-closure glaucoma, phacoemulsification  Stock RARöhrig MWMezzomo CDBonamigo ELDove Medical PressarticleIntraocular pressureGlaucomaAngle-closure glaucomaPhacoemulsificationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 1721-1726 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Intraocular pressure Glaucoma Angle-closure glaucoma Phacoemulsification Ophthalmology RE1-994
spellingShingle	Intraocular pressure Glaucoma Angle-closure glaucoma Phacoemulsification Ophthalmology RE1-994 Stock RA Röhrig MW Mezzomo CD Bonamigo EL Phacoemulsification: an alternative for prophylaxis of a glaucomatous crisis
description	Ricardo Alexandre Stock, Mariéli Wobeto Röhrig, Camila Duranti Mezzomo, Elcio Luiz Bonamigo Medical School of the University of the West of Santa Catarina (Universidade do Oeste de Santa Catarina – UNOESC), Joaçaba, SC, BrazilCorrespondence: Ricardo Alexandre StockMedical School, Universidade do Oeste de Santa Catarina, Belotto Stock Centro Oftalmológico, Rua Rio Branco, 589, Centro, CEP: 89.600-000, Joaçaba, SC, BrazilTel +55 493 522 0788Fax +55 493 522 5059Email ricardostockreal@gmail.comPurpose: To evaluate the effectiveness of phacoemulsification for the prophylaxis of a glaucomatous crisis in the affected and contralateral eyes; to investigate the evolution of intraocular pressure levels after iridotomy and phacoemulsification; to assess the need for antiglaucoma medication after the proposed treatments; and to identify potential complications associated with phacoemulsification.Patients and methods: This retrospective observational study evaluated 22 eyes of 12 patients between September 2006 and September 2018, with a minimum follow-up period of 9 months.Results: After iridotomy, a persistent increase in intraocular pressure was observed in 42.85% of the cases, 100% of the patients required antiglaucoma medications, and recurrence of angle closure was observed in 28.57% of the cases. In contrast, during follow-up of phacoemulsification, the intraocular pressure levels in all eyes evaluated remained normal, without the need for medication, and no recurrence of the glaucomatous crisis or other complications was observed.Conclusion: Phacoemulsification maybe consequently more effective than laser iridotomy for the resolution of angle-closure glaucoma and particularly for preventing its relapses.Keywords: intraocular pressure, glaucoma, angle-closure glaucoma, phacoemulsification
format	article
author	Stock RA Röhrig MW Mezzomo CD Bonamigo EL
author_facet	Stock RA Röhrig MW Mezzomo CD Bonamigo EL
author_sort	Stock RA
title	Phacoemulsification: an alternative for prophylaxis of a glaucomatous crisis
title_short	Phacoemulsification: an alternative for prophylaxis of a glaucomatous crisis
title_full	Phacoemulsification: an alternative for prophylaxis of a glaucomatous crisis
title_fullStr	Phacoemulsification: an alternative for prophylaxis of a glaucomatous crisis
title_full_unstemmed	Phacoemulsification: an alternative for prophylaxis of a glaucomatous crisis
title_sort	phacoemulsification: an alternative for prophylaxis of a glaucomatous crisis
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/3bea8e5b06dd4ba78271f7fbc3c73d4b
work_keys_str_mv	AT stockra phacoemulsificationanalternativeforprophylaxisofaglaucomatouscrisis AT rohrigmw phacoemulsificationanalternativeforprophylaxisofaglaucomatouscrisis AT mezzomocd phacoemulsificationanalternativeforprophylaxisofaglaucomatouscrisis AT bonamigoel phacoemulsificationanalternativeforprophylaxisofaglaucomatouscrisis
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Phacoemulsification: an alternative for prophylaxis of a glaucomatous crisis

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