Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 1998  |  Volume : 46  |  Issue : 3  |  Page : 139--143

Management of phacolytic glaucoma : Experience of 135 cases


A Braganza, R Thomas, T George, A Mermoud 
 Schell Eye Hospital, Vellore, India

Correspondence Address:
A Braganza
Schell Eye Hospital, Vellore
India

We retrospectively analyzed 135 eyes with phacolytic glaucoma. A trabeculectomy was added to standard cataract surgery if symptoms endured for more than seven days, or if preoperative control of intraocular pressure (IOP) with maximal medical treatment was inadequate. In the early postoperative period, IOP was significantly lower in the combined surgery group (89 eyes) compared to the cataract surgery group (46 eyes) (p < 0.001). At 6 months there was no difference in IOP or visual acuity between the two groups. There were no serious complications related to trabeculectomy. It is reasonable to conclude that in eyes with a long duration of phacolytic glaucoma, addition of a trabeculectomy to cataract surgery is safe, prevents postoperative rise in intraocular pressure and decreases the need for systemic hypotensive medications. A randomized trial is on to further address this question.


How to cite this article:
Braganza A, Thomas R, George T, Mermoud A. Management of phacolytic glaucoma : Experience of 135 cases.Indian J Ophthalmol 1998;46:139-143


How to cite this URL:
Braganza A, Thomas R, George T, Mermoud A. Management of phacolytic glaucoma : Experience of 135 cases. Indian J Ophthalmol [serial online] 1998 [cited 2022 Dec 2 ];46:139-143
Available from: https://www.ijo.in/article.asp?issn=0301-4738;year=1998;volume=46;issue=3;spage=139;epage=143;aulast=Braganza;type=0