The Role Of Cataract Surgery In Acute Primary Angle-Closure Hypertension Crises (About 50 Cases)
Published 2025 - 43rd Congress of the ESCRS
Reference: PO1007 | Type: Poster | DOI: 10.82333/msme-wh12
Authors: Taha Marrakchi Benjaafar* 1 , fadila lachkar 1 , HASSAN MOUTEI 1 , AHMED BENNIS 1 , fouad chraibi 1 , meryem abdellaoui 1 , idriss benatiya andaloussi 1
1ophtalmology,chu fes,fes,Morocco
Purpose
Acute primary angle-closure ocular hypertension is a relatively rare but serious condition as it can lead to blindness. Phacoextraction with implantation is an important therapeutic option to stabilize intraocular pressure (IOP) in the long term for these patients. It has been found that most patients require surgical intervention, particularly phacoextraction with implantation, even after physical treatments such as YAG laser, to maintain balanced intraocular pressure.
Setting
This is a retrospective comparative study conducted in the ophthalmology department of Omar Drissi Hospital in Fès, involving patients hospitalized following an acute primary angle-closure ocular hypertension crisis between January 2016 and October 2023.
Methods
The study included 50 eyes from 50 patients. All patients received standard medical treatment and a peripheral iridotomy with a YAG laser. In 25 eyes, only laser PI and medical treatment were provided (GROUP A), while 25 eyes received laser PI, medical treatment, followed by phacoextraction with implantation (GROUP B). The choice of patients for surgery was based on medical records. The clinical characteristics of the acute angle-closure crisis, therapeutic approaches, and long-term outcomes were analyzed.
Results
The two groups of patients were statistically comparable at baseline regarding all studied parameters (including age, gender, visual acuity, ocular tension, anterior chamber depth, and axial length, with P > 0.005). The mean age was 62.16 years, with a female predominance of 71.24%.
Surgical difficulties included corneal edema with a very narrow chamber in 100% of patients and poor iris dilation in 16% of patients.
Surgical difficulties included corneal edema with a very narrow chamber in 100% of patients and poor iris dilation in 16% of patients.
Our study demonstrated that phacoextraction with implantation is an effective method to maintain balanced IOP within six months compared to patients treated with only laser PI and medical therapy
Conclusions
This study highlighted the limitations of iridotomy alone and the beneficial impact of phacoextraction with implantation on the long-term management of patients admitted for acute primary angle-closure ocular hypertension.