Skip to main content

Advertisement

Log in

Anterior chamber angle and intraocular pressure changes after eventless phacoemulsification surgery in non-glaucomatous Egyptian patients

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

The purpose was to evaluate the angle of the anterior chamber (ACA) and intraocular pressure (IOP) changes following eventless phacoemulsification surgery done for non-glaucomatous Egyptian patients.

Methods

A prospective, interventional study involved 126 cataractous patients undergoing phacoemulsification with intraocular lens implantation. Patients were investigated for ACA and IOP preoperatively and postoperatively at 1 month and 6 months. Anterior chamber angles were evaluated by Scheimpflug camera, and IOP was measured by Goldmann applanation tonometer.

Results

A total of 144 eyes from 126 patients were enrolled: 65 males and 79 females; mean age was 59.72 years. At 6 months after phacoemulsification, there was highly significant decrease in IOP (P = 0) and anterior chamber angle (P = 0). The change in IOP did not correlate statistically with patient age, preoperative IOP, preoperative ACA or ACA widening.

Conclusion

Phacoemulsification reduced significantly IOP which was maintained for 6 months and widened significantly the anterior chamber angle. None of the studied parameters in our study has proved to be a reliable predictive factor to the amount of IOP drop after phacoemulsification.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Khairallah M, Kahloun R, Flaxman SR, Jonas JB et al (2014) Prevalence and causes of vision loss in North Africa and the Middle East: 1990–2010. Br J Ophthalmol 98:605–611

    Article  Google Scholar 

  2. Zanon-Moreno V, Marco-Ventura P, Lleo-Perez A, Pons-Vazquez S et al (2008) Oxidative stress in primary open-angle glaucoma. J Glaucoma 17(4):263–268

    Article  Google Scholar 

  3. Bakunina NA, Kolesnikova LN (2017) A study of OCT imaging in acute Angle-closure glaucoma eyes treated with phacoemulsification. J Ophthalmic Clin Res 4(3):036. https://doi.org/10.24966/OCR-8887/100036

    Article  Google Scholar 

  4. Brown RH, Zhong L, Lynch MG (2014) Lens-based glaucoma surgery: using cataract surgery to reduce intraocular pressure. Cataract Refract Surg 40:1255–1262

    Article  Google Scholar 

  5. Roberts TV, Francis IC, Lertusumitkul S, Kappaqoda MB et al (2000) Primary phacoemulsification for uncontrolled angle-closure glaucoma. J Cataract Refract Surg 26(7):1012–1016

    Article  CAS  Google Scholar 

  6. Brown RH, Zhong L, Whitman AL, Lynch MG, Kilgo PD et al (2014) Reduced intraocular pressure after cataract surgery in patients with narrow angles and chronic angle-closure glaucoma. J Cataract Refract Surg 40(10):1610–1614

    Article  Google Scholar 

  7. Lai JS, Tham CC, Chan JC (2006) The clinical outcomes of cataract extraction by phacoemulsification in eyes with primary angle-closure glaucoma (PACG) and co-existing cataract: a prospective case series. J Glaucoma 15(1):47–52

    Article  Google Scholar 

  8. Zhou AW, Giroux J, Mao AJ, Hutnik CM (2010) Can preoperative anterior chamber angle width predict magnitude of intraocular pressure change after cataract surgery? Can J Ophthalmol 45(2):149–153

    Article  Google Scholar 

  9. Koranyi G, Lydahl E, Norrby S, Taube M (2002) Anterior chamber depth measurement: a-scan versus optical methods. J Cataract Refract Surg 28:243–247

    Article  Google Scholar 

  10. Altan C, Bayraktar S, Altan T, Eren H, Yilmaz OF (2004) Anterior chamber depth, iridocorneal angle width, and intraocular pressure changes after uneventful phacoemulsification in eyes without glaucoma and with open iridocorneal angles. J Cataract Refract Surg 30:832–838

    Article  Google Scholar 

  11. Kashiwagi K, Kashiwagi F, Tsukahara S (2006) Effects of small-incision phacoemulsification and intraocular lens implantation on anterior chamber depth and intraocular pressure. J Glaucoma 15:103–109

    Article  Google Scholar 

  12. Memarzadeh F, Tang M, Li Y, Chopra V, Francis BA, Huang D (2007) Optical coherence tomography assessment of angle anatomy changes after cataract surgery. Am J Ophthalmol 144:464–465

    Article  Google Scholar 

  13. Miyata K, Kato S, Nejima R, Miyai T et al (2007) Influences of optic edge design on posterior capsule opacification and anterior capsule contraction. Acta Ophthalmol Scand 85:99–102

    Article  Google Scholar 

  14. Nguyen AT, Liu T, Liu J (2016) Applications of scheimpflug imaging in glaucoma management: current and potential applications. J Ophthalmol 123(2):1–9

    Google Scholar 

  15. Doganay S, Firat PB, Emre S, Yologlu S (2010) Evaluation of anterior segment parameter changes using the Pentacam after uneventful phacoemulsification. Acta Ophthalmol 88:601–606

    Article  Google Scholar 

  16. Kurita N, Mayama C, Tomidokoro A, Aihara M et al (2009) Potential of the pentacam in screening for primary angle closure and primary angle closure suspect. J Glaucoma 18(7):506–512

    Article  Google Scholar 

  17. Shingleton BJ, Gamell LS, O’Donoghue MW et al (1999) Long term changes in intraocular pressure after clear corneal phacoemulsification: normal patients versus glaucoma suspect and glaucoma patients. J Cataract Refract Surg 25:885–890

    Article  CAS  Google Scholar 

  18. Hayashi K, Hayashi H, Nakao F, Hayashi F (2000) Changes in anterior chamber angle width and depth after intraocular lens implantation in eyes with glaucoma. Ophthalmology 107:698–703

    Article  CAS  Google Scholar 

  19. Bhopal R, Donaldson L (1998) White, European, Western, Caucasian, or What? Inappropriate labeling in research on race, ethnicity, and health. Am J Public Health 88(9):1303–1307

    Article  CAS  Google Scholar 

  20. Bigger JF, Becker B (1971) Cataracts and primary open-angle glaucoma: the effect of uncomplicated cataract extraction on glaucoma control. Trans Am Acad Ophthalmol Otolaryngol 75:260–272

    CAS  PubMed  Google Scholar 

  21. Poley BJ, Lindstrom RL, Samuelson TW (2008) Long-term effects of phacoemulsification with intraocular lens implantation in normotensive and ocular hypertensive eyes. J Cataract Refract Surg 34:735–742

    Article  Google Scholar 

  22. Issa S, Pacheco J, Mahmood U, Nolan J, Beatty S (2005) A novel index for predicting intraocular pressure reduction following cataract surgery. Br J Ophthalmol 89:543–546

    Article  CAS  Google Scholar 

  23. Melancia D, Pinto LA, Marques-Neves C (2015) Cataract surgery and intraocular pressure. Ophthalmic Res 53:141–148

    Article  Google Scholar 

  24. Liu CJ, Cheng C-Y, Ko Y-C, Lau L-I (2011) Determinants of long-term intraocular pressure after phacoemulsification in primary angle-closure glaucoma. J Glaucoma 20:566–570

    Article  Google Scholar 

Download references

Funding

No funds have been received for the study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Omar H. Salama.

Ethics declarations

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in the study were in accordance with Al-Azhar Medical Research Ethics Committee ethical standards and with the 1964 Helsinki declaration and its later amendments.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ibrahim, M.MA., Salama, O.H. Anterior chamber angle and intraocular pressure changes after eventless phacoemulsification surgery in non-glaucomatous Egyptian patients. Int Ophthalmol 40, 725–731 (2020). https://doi.org/10.1007/s10792-019-01234-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-019-01234-1

Keywords

Navigation