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.
About the Authors
A. A. Markova
Чебоксарский филиал ФГАУ НМИЦ «МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова» МЗ РФ, г. Чебоксары, Россия
Russian Federation
Russian Federation
N. Y. Gorbunova
Чебоксарский филиал ФГАУ НМИЦ «МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова» МЗ РФ, г. Чебоксары, Россия
Russian Federation
Russian Federation
N. A. Pozdeyeva
Чебоксарский филиал ФГАУ НМИЦ «МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова» МЗ РФ, г. Чебоксары, Россия
Russian Federation
Russian Federation
References
1. Quigley, H.A. The number of people with glaucoma worldwide in 2010 and 2020 / H.A. Quigley, A.T. Broman // Br. J. Ophthalmol. - 2006. - Vol. 90. - Р. 262-267.
2. Goldberg, I. Glaucoma in the 21st Century / I. Goldberg // Hartcourt. Health Communication / London: Mosby Int., 2000. - P. 4-8.
3. Prevalence of plateau iris configuration in primary angle closure glaucoma using ultrasound biomicroscopy in the Indian population / G. Kumar [et al.] // Indian J Ophthalmol. - 2012. - Vol. 60, №3. - P. 175-178.
4. Primary angle-closure glaucoma: an update / C. Wright [et al.] // Acta Ophthalmol. - 2016. - Vol. 94. - P. 217-225.
5. Laser peripheral iridotomy in primary angle-closure suspects: Biometric and gonioscopic outcomes: The Liwan Eye Study / M. He [et al.] // Ophthalmology. - 2007. - Vol.114. - P. 494-500.
6. Comparison of the prevalence of plateau iris configurations between angle-closure glaucoma and open-angle glaucoma using ultrasound biomicroscopy / H. Mochizuki [et al.] // J Glaucoma. - 2011. - Vol. 20. - P. 315-318.
7. Plateau iris / A.D. Filho [et al.] // Arq Bras Oftalmol. - 2008. - Vol. 71, №5. - P. 752-758.
8. Pavlin, C.J. Plateau iris syndrome: changes in angle opening associated with dark, light, and pilocarpine administration / C.J. Pavlin, F.S. Foster // Am J Ophthalmol. - 1999. - Vol. 128, №3. - P. 288-291.
9. The effect of laser iridotomy on the anterior segment anatomy of patients with plateau iris configuration / L.A. Polikoff [et al.] // J Glaucoma. - 2005. - Vol. 14, №2. - P. 109-113.
10. Tran, H.V. Iridociliary apposition in plateau iris syndrome persists after cataract extraction / H.V. Tran, J.M. Liebmann, R. Ritch // Am J Ophthalmol. - 2003. - Vol. 135, №1. - P. 40-43.
11. Endocycloplasty. A new technique for managing angle-closure glaucoma secondary to plateau iris syndrome / D.W. Podbielsky [et al.] // Glaucoma Today. - 2010. - Vol. 10. - P. 29-31.
12. Larkin, H. Endocycloplasty often effective for angle-closure glaucoma due to plateau iris / H. Larkin // Eurotimes stories. - 2016. - Vol. 9.
13. Маркова, А.А. Эндоскопическая лазерная циклопластика в лечении закрытоугольной глаукомы с плоской радужкой / А.А. Маркова, Н.Ю. Горбунова, Н.А. Поздеева // Национальный журнал глаукома. - 2018. - Т. 17, № 3. - С. 41-49.
14. Тахчиди, Х.П. Ультразвуковая биомикроскопия в диагностике и патологии переднего сегмента глаза / Х.П. Тахчиди, Э.В. Егорова, Д.Г. Узунян. - М.: Издательский центр «Микрохирургия глаза», 2007. - 128 с.
Review
For citations:
Markova A.A., Gorbunova N.Y., Pozdeyeva N.A. Comparative analysis of long-term results of treatment of patients with angle-closure glaucoma with plateau iris. Medical and Biological Problems of Life Activity. 2020;(2):110-115. (In Russ.)
Views: 87
Email this article 