Visual acuity and intraocular pressure values in patients with phacomorphic glaucoma following phacoemulsification and intraocular lens implantation

Objectives: To evaluate the efficiency of phacoemulsificationand uncomplicated Intraocular Lens (IOL) implantationsurgery on visual prognosis and intraocular pressurecontrol on eyes with phacomorphic glaucoma.Materials and methods: Totally 17 eyes of 17 patientswith phacomorphic glaucoma who underwent cataractsurgery was evaluated retrospectively. Intraocular pressure(IOP), best corrected visual acuity, axial length, thicknessof the lens and anterior chamber depth of the caseswere measured preoperatively and postoperatively.Results: Ten cases (59 %) were male and 7 (41%) werefemale. The mean age of the cases was 63.8 ± 10.3 years(40-83). The average follow up period was 12.1 ± 6.7months (3-26). Preoperative average intraocular pressurewas 44.7 ± 10.02 mm Hg (30-70), and the average IOPin the last postoperative follow up was 12.8 ± 1.9 mm Hg(10-16). There was no IOP increase in any eye during followup. Decrease in IOP in the first postoperative day wasstatistically significant (p<0.001). Preoperative averageaxial length was 22.1 ± 0.7 mm (21.0 - 24.2) and averagelens thickness was 5.5 ± 0.2 mm (5.1 - 5.9). Preoperativeand postoperative average anterior chamber depthwere 1.5 ± 0.3 mm (0.9 - 2.1) and 2.6 ± 0.1 mm (2.4 - 2.9)(p<0.001). Significantly increases in visual acuity weredetermined postoperatively in 14 (82%) cases.Conclusion: It was concluded that in cases with phacomorphicglaucoma, uncomplicated phacoemulsificationand IOL implantation is safe and effective procedure inimproving visual acuity and controlling IOP