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The Effect of Phacoemulsification on Intraocular Pressure in Glaucoma with Cataract Patient, occurring in One of the Hospitals under Medical Service Department, Bangkok Metropolitan Administration |
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| รหัสดีโอไอ | |
| Creator | Uthai Charoenchitrwattana |
| Title | The Effect of Phacoemulsification on Intraocular Pressure in Glaucoma with Cataract Patient, occurring in One of the Hospitals under Medical Service Department, Bangkok Metropolitan Administration |
| Publisher | Text and Journal Publication |
| Publication Year | 2561 |
| Journal Title | Vajira Medical Journal |
| Journal Vol. | 62 |
| Journal No. | 5 |
| Keyword | Phacoemulsification, cataract surgery, glaucoma, intraocular pressure, axial length, anterior chamber depth, K-reading |
| URL Website | https://tci-thaijo.org/index.php/VMED |
| Website title | Vajira Medical Journal (วชิรเวชสาร) |
| ISSN | 0125-1252 |
| Abstract | Abstract Objectives: To evaluate the effect of phacoemulsification on intraocular pressure (IOP) at one week after surgery among glaucoma patients with cataracts. A further aim was to investigate whether there was a correlation between axial length (AL), anterior chamber depth (ACD) and K-readings with pre- and postoperative IOP. Methods: A retrospective analysis was performed on 212 eyes of 212 glaucoma patients with cataracts who had undergone uncomplicated phacoemulsification and foldable intraocular lens implantation. The measurements were obtained preoperatively and 1 week postoperatively. AL, ACD, and K-reading were measured by Zeiss IOL Master Version 5, and IOP was measured by Noncontact tonometer Nidex NT-530P. The relationships between IOP change and ocular biometric parameters were evaluated. Results: The mean age of the patients was 70.7 ? 8.6 years; 72 patients were male, and 140 patients were female. The difference between pre- and postoperative IOP was 2.95 ? 2.52 mmHg. The mean AL, ACD, and K-reading were 23.4 ? 1.1 mm, 2.98 ? 1.89 mm, 44.2 ? 3.9 Diopter, respectively. There was a significant correlation (p 3 mmHg, and AL and preoperative IOP, whereas there was no significant correlation with ACD and K-reading. Conclusion: Phacoemulsification induces a reduction in IOP in glaucoma patients with cataracts. Preoperative IOP > 15mmHg, AL > 23.42mm and ACD ? 2.72 mm were also significantly associated positively with reduced IOP after cataract surgery. |
