Lens Extraction by Phacoemulsification in Management of Acute Primary Angle Closure Glaucoma

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Karim Ahmad ◽  
Mahmoud Abdel-Ghany ◽  
Adel Shalaby ◽  
Ahmed Gad ◽  
Mostafa Salamah
Keyword(s):  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Acute Primary Angle Closure ◽  
Lens Extraction ◽  
Primary Angle Closure ◽  
Primary Angle Closure Glaucoma

scholarly journals Managing Primary Angle Closure Glaucoma – The Role of Lens Extraction in this Era

2016 ◽  
Vol 10 (1) ◽  
pp. 86-93 ◽  
Author(s):  
Nafees Baig ◽  
Ka-Wai Kam ◽  
Clement C.Y. Tham
Keyword(s):  
Gold Standard ◽  
Open Angle Glaucoma ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Predisposing Factor ◽  
Lens Extraction ◽  
Primary Angle Closure ◽  
Primary Angle Closure Glaucoma ◽  
Anterior Position

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.

scholarly journals Effectiveness of early lens extraction for the treatment of primary angle-closure glaucoma (EAGLE): a randomised controlled trial

The Lancet ◽  
2016 ◽  
Vol 388 (10052) ◽  
pp. 1389-1397 ◽  
Author(s):  
Augusto Azuara-Blanco ◽  
Jennifer Burr ◽  
Craig Ramsay ◽  
David Cooper ◽  
Paul J Foster ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Lens Extraction ◽  
Primary Angle Closure ◽  
Primary Angle Closure Glaucoma ◽  
Randomised Controlled
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