J Korean Ophthalmol Soc > Volume 54(8); 2013 > Article
Journal of the Korean Ophthalmological Society 2013;54(8):1193-1198.
DOI: https://doi.org/10.3341/jkos.2013.54.8.1193    Published online August 15, 2013.
Influence of Phacoemulsification on Progression of Glaucoma and Analysis of Related Factors in Glaucoma Patients.
Ga Young Yoo, Hyung Bin Hwang, Myoung Hee Park, Hyun Seung Kim
Department of Ophthalmology and Visual Science, Yeouido St. Mary's Hospital, The Catholic University of Korea School of Medicine, Seoul, Korea. sara514@catholic.ac.kr
녹내장 환자에서 수정체초음파유화술이 녹내장의 진행에 미치는 영향과 이에 관련된 인자의 분석
유가영⋅황형빈⋅박명희⋅김현승
Department of Ophthalmology and Visual Science, Yeouido St. Mary’s Hospital,
The Catholic University of Korea School of Medicine, Seoul, Korea
Abstract
PURPOSE
To evaluate the factors affecting glaucoma progression after cataract surgery with phacoemulsification. METHODS: The medical charts of 109 eyes of 68 patients with glaucoma who had phacoemulsification were retrospectively reviewed. The course of glaucoma was followed up for at least 2 years. Age, sex, diabetes, hypertension, preoperative mean deviation, phacoemulsification time, cataract type, refractive error, preoperative and postoperative visual acuity, preoperative and postoperative intraocular pressure, axial length, and central corneal thickness between the progression group and the non-progression group were compared. RESULTS: Among 109 eyes with glaucoma, 19 (17.4%) eyes were classified into the glaucoma progression group. In the multivariate analysis, age (p = 0.026), preoperative mean deviation (p < 0.001), and phacoemulsification time (p < 0.001) were statistically associated with glaucoma progression. CONCLUSIONS: For patients with glaucoma, phacoemulsification may result in its progression. Special attention should be given to patients with the above risk factors.
Key Words: Cataract;Glaucoma;Phacoemulsification


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