The influence of prostaglandin analogs on the retinal thickness after phacoemulsification with intraocular lens implantation in primary open-angle glaucoma patients

Introduction: The aim of the study was to evaluate complications of cataract surgery in eyes filled with silicone oil. Methods: This retrospective, noncomparative, consecutive case series analyzed medical files of patients with eyes filled with silicone oil undergoing cataract surgery. Phacoemulsification with posterior chamber intraocular lens implantation was conducted with or without concurrent silicone oil removal. Results: In this study, 121 eyes of 120 patients were included. In 32 eyes (26.4%) with evident silicone oil microemulsification or silicone oil–associated open-angle glaucoma, silicone oil was removed prior to phacoemulsification through a pars plana incision and no cases of posterior capsular rupture occurred during the subsequent cataract surgery. In the remaining 89 eyes, phacoemulsification was performed with silicone oil in the vitreous cavity. In these eyes, the rate of posterior capsular rupture was 9/89 (10.1%) and the rate of silicone oil migration into the anterior chamber through an apparently intact posterior capsule was 5/89 (5.6%). In 94 eyes (77.7%), an intraocular lens was inserted into the capsular bag, in 3 eyes (2.5%) into the sulcus, and in 1 eye (0.8%) a transscleral suturing was performed. Conclusions: In this series, complications related to the silicone oil were not uncommon during cataract surgery. In the majority of patients without evident silicone oil microemulsification or silicone oil–associated open-angle glaucoma, cataract surgery and posterior chamber intraocular lens implantation were performed while leaving the silicone oil in place.

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Indications and efficacy of combined trabeculectomy and extracapsular cataract extraction with intraocular lens implantation in cataract patients with coexisting open angle glaucoma

Acta Ophthalmologica Scandinavica ◽

10.1111/j.1600-0420.1995.tb00284.x ◽

2009 ◽

Vol 73 (3) ◽

pp. 273-276 ◽

Cited By ~ 1

Author(s):

Allan Storr-Paulsen ◽

Andreas Perriard ◽

Peter Vangsted

Keyword(s):

Intraocular Lens ◽

Open Angle Glaucoma ◽

Cataract Extraction ◽

Extracapsular Cataract Extraction ◽

Open Angle ◽

Intraocular Lens Implantation ◽

Lens Implantation ◽

Cataract Patients

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Pigmentary open-angle glaucoma secondary to posterior chamber intraocular lens implantation and erosion of the iris pigment epithelium

American Intra-Ocular Implant Society Journal ◽

10.1016/s0146-2776(85)80020-3 ◽

1985 ◽

Vol 11 (2) ◽

pp. 174-176 ◽

Cited By ~ 27

Author(s):

Judson P. Smith

Keyword(s):

Intraocular Lens ◽

Open Angle Glaucoma ◽

Pigment Epithelium ◽

Posterior Chamber ◽

Open Angle ◽

Intraocular Lens Implantation ◽

Posterior Chamber Intraocular Lens ◽

Lens Implantation ◽

Iris Pigment Epithelium

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Retinal thickness and incidence of pseudophakic cystoid macular edema in patients with primary open-angle glaucoma, receiving prostaglandin analogues

Ophthalmology journal ◽

10.17816/ov64116 ◽

2021 ◽

Vol 14 (2) ◽

pp. 17-26

Author(s):

Xiaoyuan Wang ◽

Sergey Yu. Astakhov ◽

Vitaly V. Potemkin ◽

Albina R. Potemkina ◽

Liliya K. Anikina

Keyword(s):

Macular Edema ◽

Cystoid Macular Edema ◽

Primary Open Angle Glaucoma ◽

Retinal Thickness ◽

Open Angle Glaucoma ◽

Control Group ◽

Open Angle ◽

Prostaglandin Analogues ◽

Lens Implantation ◽

Anti Inflammatory

Background. Cataract is often associated with primary glaucoma. Prostaglandin analogues use is considered to be a risk factor for pseudophakic cystoid macular edema. Purpose. To evaluate the effect of prostaglandin analogues and non-steroidal anti-inflammatory drops on the central retinal thickness and the incidence of pseudophakic cystoid macular edema after phacoemulsification with intraocular lens implantation in patients with primary open-angle glaucoma. Materials and methods. 91 patients were enrolled in the study. 22 patients (22 eyes) were included in the first main group and 22 patients (22 eyes) were included in the second main groups. All patients in main groups had glaucoma and used prostaglandin analogues. 47 patients (57 eyes) without glaucoma were included in the control group. All patients were treated with topical antibiotics and steroids after phacoemulsification. Patients in the main second and in the control groups also received non-steroidal anti-inflammatory drops. The retinal thickness was measured by optical coherence tomography 2 weeks, 2 months and 6 months after the operation. Results. After the operation, the foveal thickness in patients of the first and the second groups was increased, but it had returned to the preoperative level after 6 months in the first group and after 2 months in the second group. The retinal thickness in the fovea in the control group decreased after the surgery and it has been increasing gradually but did not achieve the preoperative value. Conclusion. Prostaglandin analogues use after phacoemulsification with intraocular lens implantation does not affect the incidence of pseudophakic cystoid macular edema. Prescribing non-steroidal anti-inflammatory drops after the surgery helps to achieve faster normalization of the central retinal thickness.

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