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Effect of Goniosynechialysis During Phacoemulsification on IOP in Patients With Medically Well-controlled Chronic Angle-Closure Glaucoma

 Chang Kyu Lee  ;  Seung Soo Rho  ;  Gong Je Sung  ;  Na Rae Kim  ;  Jong Yun Yang  ;  Na Eun Lee  ;  Samin Hong  ;  Chan Yun Kim 
 JOURNAL OF GLAUCOMA, Vol.24(6) : 405-409, 2015 
Journal Title
Issue Date
Adolescent ; Adult ; Aged ; Cataract/complications ; Chronic Disease ; Corneal Diseases/surgery* ; Female ; Glaucoma, Angle-Closure/complications ; Glaucoma, Angle-Closure/surgery* ; Humans ; Intraocular Pressure/physiology* ; Iris Diseases/surgery* ; Lens Implantation, Intraocular ; Male ; Middle Aged ; Phacoemulsification* ; Tissue Adhesions/surgery ; Tonometry, Ocular ; Visual Acuity/physiology
cataract ; medically controlled chronic angle-closure glaucoma ; goniosynechialysis ; phacoemulsification
PURPOSE: To evaluate and compare the efficacy and safety of combined phacoemulsification and goniosynechialysis (PEGS) to phacoemulsification alone (PE) in patients with medically well-controlled chronic angle-closure glaucoma (CACG) with cataracts. MATERIALS: Thirty eyes diagnosed with CACG and requiring cataract surgery from January 2008 to October 2010 were prospectively randomized, 15 each to PE and PEGS. Changes in peripheral anterior synechiae (PAS), intraocular pressure (IOP), anterior chamber depth, and number of antiglaucoma drugs from baseline to 2 months after the operation were analyzed, as were the type and number of complications. RESULTS: The PE group showed decreases in PAS (118.67±95.38 degrees) and IOP (2.33±2.38 mm Hg) and a significant reduction in the number of antiglaucoma drugs (0.53±0.83, P<0.05) from before to 2 months after surgery. The PEGS group showed similar decreases in PAS (114.00±90.95 degrees), and IOP (4.53±4.16 mm Hg) and number of antiglaucoma drugs (1.20±1.32) (P<0.05). However, the amount of decline in both the groups did not show any significantly difference in PAS, reduction of IOP, or number of antiglaucoma drugs (P>0.05), The increase in anterior chamber depth from baseline to 2 months after surgery was significantly greater in the PEGS group (P=0.003). CONCLUSIONS: The IOP-lowering effects of PEGS do not differ significantly from those of PE in medically well-controlled CACG patients with cataract. These results suggest that additional goniosynechialysis during phacoemulsification is not necessary in such patients.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Chan Yun(김찬윤) ORCID logo https://orcid.org/0000-0002-8373-9999
Rho, Seung Soo(노승수)
Seong, Gong Je(성공제) ORCID logo https://orcid.org/0000-0002-5456-4296
Lee, Na Eun(이나은)
Lee, Chang Kyu(이창규)
Hong, Sa Min(홍사민)
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