scholarly journals Clear Lens Extraction in Primary Angle-closure Disease—Pros and Cons

2020 ◽  
Vol 13 (1) ◽  
pp. 23
Author(s):  
Syed Shoeb Ahmad ◽  
Ghuncha Khatoon ◽  
Iram Jahan ◽  
Md Naeem Arafat ◽  
Anwar Husain ◽  
...  

2016 ◽  
Vol 10 (1) ◽  
pp. 86-93 ◽  
Author(s):  
Nafees Baig ◽  
Ka-Wai Kam ◽  
Clement C.Y. Tham

Trabeculectomy has been the gold standard in reducing intraocular pressure (IOP) in glaucoma patients, no matter it is angle closure or open angle glaucoma. However in primary angle closure glaucoma, no matter the lens is cataractous or not, it is likely to be pathological, this thicker than usual lens, with or without a more anterior position, is often regarded as a strong contributing factor to angle closure. Lens extraction, no matter it is cataractous or clear, can theoretically eliminate this anatomical predisposing factor of angle closure, and thus IOP can be reduced. Based on recent results of a number of clinical trials, lens extraction alone or in combination with other IOP-lowering surgeries, may therefore play a more important role in the treating primary angle closure glaucoma. In cases when greater IOP-lowering effect is needed or if drug dependency has to be minimized, combined procedures, such as phacotrabeculectomy, can be considered, but the surgical risk can be higher than lens extraction alone.


2011 ◽  
Vol 5 ◽  
pp. 20-25
Author(s):  
Anubha Rathi ◽  
Reetika Sharma ◽  
Bhaskar Jha ◽  
Shibal Bhartiya ◽  
Anita Panda

The Lancet ◽  
2016 ◽  
Vol 388 (10052) ◽  
pp. 1389-1397 ◽  
Author(s):  
Augusto Azuara-Blanco ◽  
Jennifer Burr ◽  
Craig Ramsay ◽  
David Cooper ◽  
Paul J Foster ◽  
...  

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