Intraocular Pressure After Phacoemulsification in Open-angle Glaucoma Patients With Uncontrolled or Marginally Controlled Glaucoma and/or With Severe Visual Field Loss
Intraocular Pressure After Phacoemulsification in Open-angle Glaucoma Patients With Uncontrolled or Marginally Controlled Glaucoma and/or With Severe Visual Field Loss
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DOI：
10.1097/ijg.0000000000000854
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发表时间：
2018-02-01
影响因子：
2
通讯作者：
Chen, Philip P.
中科院分区：
文献类型：
--
作者：
Bojikian, Karine D.;Chen, Philip P.
背景/目的：评估青光眼不受控制或边缘控制和/或严重视野（VF）丧失的开角型青光眼（OAG）患者超声乳化术后眼压（IOP）。患者和方法：对既往未接受青光眼手术的 OAG 患者进行超声乳化手术的回顾性病例系列。不受控制或勉强控制的青光眼被定义为 IOP > 21 mm Hg，尽管有最大耐受药物或需要 > 3 种局部药物来控制 IOP。严重 VF 丧失被定义为 VF 平均偏差 = 3 mm Hg，而 14 只眼睛 (31.1%) 的下降≥ 3 mm Hg。 9 只眼 (20.0%) 在不改变药物的情况下眼压较高，9 只眼 (20.0%) 需要额外药物或手术来控制眼压； 3 只眼睛（6.7%）需要小梁切除术。 1 年时较高的 IOP 与术后第 1 周 IOP 升高 >= 10 mm Hg 相关 (P=0.020)。 结论：超声乳化术导致青光眼不受控制或勉强控制和/或严重 VF 丧失的 OAG 患者 1 年 IOP 变化不显着。尽管40%的眼睛在术后1年超声乳化术后眼压较高，但只有6.7%的眼睛需要小梁切除术。
Background/Aims: To evaluate intraocular pressure (IOP) after phacoemulsification in open-angle glaucoma (OAG) patients with uncontrolled or marginally controlled glaucoma and/or severe visual field (VF) loss.Patients and Methods: Retrospective case series of OAG patients without prior glaucoma surgery undergoing phacoemulsification. Uncontrolled or marginally controlled glaucoma was defined as IOP > 21 mm Hg despite maximally tolerated medications or requiring > 3 topical drugs for IOP control. Severe VF loss was defined as VF mean deviation = 3 mm Hg, whereas 14 eyes (31.1%) had decrease of >= 3 mm Hg. Nine eyes (20.0%) had higher IOP without medication changes and 9 eyes (20.0%) required additional medications or surgery for IOP control; 3 eyes (6.7%) required trabeculectomy. Higher IOP at 1 year was associated with IOP elevation >= 10 mm Hg at postoperative week 1 (P=0.020).Conclusions: Phacoemulsification resulted in nonsignificant 1-year IOP change in OAG patients with uncontrolled or marginally controlled glaucoma and/or with severe VF loss. Although 40% of eyes had higher IOP after phacoemulsification at 1-year postoperatively, only 6.7% required trabeculectomy.