Angle-Closure Glaucoma with a Phacomorphic Component in Patients with Hyperopia: Approaches to Surgical Treatment

A hyperopic eye has a complex of unfavorable anatomical features which create a background for the development of angleclosure glaucoma (ACG) with a phacomorphic component after the onset of presbyopia.

The purpose of the work was to optimize approaches to the surgical treatment of patients with hyperopia and ACG with a phacomorphic component based on the analysis of the results of various tactics for the management of patients with this pathology.

Material and methods. 36 patients aged 46-73 years old with hyperopia and acute ACG attack were treated using different methods: laser iridectomy, cataract phacoemulsification (CPE) with intraocular lens (IOL) implantation, CPE with IOL in combination with sinustrabeculectomy and iridocycloretraction. The tactics of patient management was chosen depending of the duration of intraocular pressure (IOP) decompensation, the presence of dystrophic changes in the structures of the anterior segment of the eye and the condition of the lens. F

Conclusions. CPE with IOL implantation is a pathogenetically substantiated operation in the presence of a phacomorphic component in IOP decompensation.    The necessity for additional interventions is determined individually after a comprehensive assessment of the ophthalmic status.

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