Comparative analysis of long-term results of treatment of patients with angle-closure glaucoma with plateau iris

Abstract

Comparative analysis of the effectiveness of various methods of treating patients with primary angle-closure glaucoma with plateau iris.The study included 66 eyes of patients with primary angle-closure glaucoma (PACG) with plateau iris. All patients were divided into two groups: in the main (36 eyes) method of treatment was chosen cataract phacoemulsification with an intraocular lens (IOL) implantation and endoscopic laser cycloplasty (ECPL), in the control (30 eyes) - only phacoemulsification with IOL implantation. The follow-up period was 18 months. When comparing postoperative indicators in both groups, a statistically significant difference (p<0,001) was found in the width of the anterior angle chamber according to optical coherence tomography data of the anterior segment, as well as in terms of the distance «trabecula-iris 250», distance «trabecula-iris 500» and «trabecula-ciliary processes 500», which were larger in patients of the main group. In addition, patients in the control group more often required prescription of additional hypotensive therapy to compensate for intraocular pressure in the postoperative period. This suggests that combined intervention (phacoemulsification with ECPL) is more justified than phacoemulsification alone in cases of treatment with PACG with plateau iris.