File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Retrospective case series on the long-term visual and intraocular pressure outcomes of phacomorphic glaucoma

TitleRetrospective case series on the long-term visual and intraocular pressure outcomes of phacomorphic glaucoma
Authors
Keywordsintraocular pressure
long-term
phacomorphic glaucoma
visual acuity
Issue Date2010
PublisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/eye
Citation
Eye, 2010, v. 24 n. 11, p. 1675-1680 How to Cite?
AbstractPurposeTo analyse the long-term visual acuity (VA) and intraocular pressure (IOP) outcomes in phacomorphic glaucoma.Patients and methodsA retrospective analysis of 100 consecutive, acute phacomorphic glaucoma cases from January 2000 to April 2009 was conducted at The Caritas Medical Centre in Hong Kong. All cases underwent cataract extraction after IOP control with medication andor laser.ResultsDuring a 3.1±2.6-year follow-up, the mean visual improvement was 1.1±0.9 LogMAR units with improvements in 81.7 of cases. A shorter duration from symptoms to cataract extraction resulted in greater visual improvement (r2=0.1, P=0.001). In all, 80.5 of the cases had IOP21mmHg without any glaucoma treatment; 19.5 required 1.6±0.7 glaucoma eye drops; and 3.7 required additional laser iridotomy or trabeculectomy for IOP control at 1.8±2.3 years. The vertical cup-disc ratio (VCDR) of the index eye was 0.6±0.3. Gonioscopy revealed an averaged Shaffer grading of 3.0±1.0 and 99±90 degrees of peripheral anterior synechiae (PAS). The Humphrey automated perimetry mean deviation was 5.2±2.7 and the pattern standard deviation was 15.9±10.ConclusionOver 80 of phacomorphic patients had long-term visual improvements and normalization of IOP after cataract extraction. A shorter attack seemed to offer better VA. Post-operatively, most have open angles with some degree of PAS formation, and glaucomatous optic neuropathy is evident from enlarged VCDRs and visual field defects. At least 2 years of follow-up is useful to detect a 20 glaucoma progression possibly requiring additional glaucoma treatments. © 2010 Macmillan Publishers Limited. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/127673
ISSN
2015 Impact Factor: 2.213
2015 SCImago Journal Rankings: 1.132
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLee, JWYen_HK
dc.contributor.authorLai, JSMen_HK
dc.contributor.authorYick, DWFen_HK
dc.contributor.authorTse, RKKen_HK
dc.date.accessioned2010-10-31T13:39:25Z-
dc.date.available2010-10-31T13:39:25Z-
dc.date.issued2010en_HK
dc.identifier.citationEye, 2010, v. 24 n. 11, p. 1675-1680en_HK
dc.identifier.issn0950-222Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/127673-
dc.description.abstractPurposeTo analyse the long-term visual acuity (VA) and intraocular pressure (IOP) outcomes in phacomorphic glaucoma.Patients and methodsA retrospective analysis of 100 consecutive, acute phacomorphic glaucoma cases from January 2000 to April 2009 was conducted at The Caritas Medical Centre in Hong Kong. All cases underwent cataract extraction after IOP control with medication andor laser.ResultsDuring a 3.1±2.6-year follow-up, the mean visual improvement was 1.1±0.9 LogMAR units with improvements in 81.7 of cases. A shorter duration from symptoms to cataract extraction resulted in greater visual improvement (r2=0.1, P=0.001). In all, 80.5 of the cases had IOP21mmHg without any glaucoma treatment; 19.5 required 1.6±0.7 glaucoma eye drops; and 3.7 required additional laser iridotomy or trabeculectomy for IOP control at 1.8±2.3 years. The vertical cup-disc ratio (VCDR) of the index eye was 0.6±0.3. Gonioscopy revealed an averaged Shaffer grading of 3.0±1.0 and 99±90 degrees of peripheral anterior synechiae (PAS). The Humphrey automated perimetry mean deviation was 5.2±2.7 and the pattern standard deviation was 15.9±10.ConclusionOver 80 of phacomorphic patients had long-term visual improvements and normalization of IOP after cataract extraction. A shorter attack seemed to offer better VA. Post-operatively, most have open angles with some degree of PAS formation, and glaucomatous optic neuropathy is evident from enlarged VCDRs and visual field defects. At least 2 years of follow-up is useful to detect a 20 glaucoma progression possibly requiring additional glaucoma treatments. © 2010 Macmillan Publishers Limited. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/eyeen_HK
dc.relation.ispartofEyeen_HK
dc.subjectintraocular pressureen_HK
dc.subjectlong-termen_HK
dc.subjectphacomorphic glaucomaen_HK
dc.subjectvisual acuityen_HK
dc.titleRetrospective case series on the long-term visual and intraocular pressure outcomes of phacomorphic glaucomaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0950-222X&volume=41&issue=11&spage=1675&epage=1680&date=2010&atitle=Retrospective+case+series+on+the+long-term+visual+and+intraocular+pressure+outcomes+of+phacomorphic+glaucomaen_HK
dc.identifier.emailLee, JWY: jackylee@hku.hken_HK
dc.identifier.emailLai, JSM: laism@hku.hken_HK
dc.identifier.authorityLee, JWY=rp01498en_HK
dc.identifier.authorityLai, JSM=rp00295en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1038/eye.2010.108en_HK
dc.identifier.pmid20689570-
dc.identifier.scopuseid_2-s2.0-78349271329en_HK
dc.identifier.hkuros181741en_HK
dc.identifier.hkuros205037-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-78349271329&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume24en_HK
dc.identifier.issue11en_HK
dc.identifier.spage1675en_HK
dc.identifier.epage1680en_HK
dc.identifier.isiWOS:000284112900006-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLee, JWY=36625464100en_HK
dc.identifier.scopusauthoridLai, JSM=7401939748en_HK
dc.identifier.scopusauthoridYick, DWF=6507461286en_HK
dc.identifier.scopusauthoridTse, RKK=8220164600en_HK

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats