Laal Mohammad, Mohammad Alam, Arshad Farzooq.
Intraocular Pressure Control after Cataract Extraction with Posterior Chamber Intraocular Lens Implantation in Phacomorphic Glaucoma.
Ophthalmol Update Jan ;13(2):90-2.

Objective: To find out control of intra ocular pressure after cataract extraction with posterior chamber intraocular lens implantation in Phacomorphic glaucoma. Materials and Methods: This retrospective study was conducted in KDA Teaching Hospital Kohat from January 2009 to December, 2013 with the objective of finding intraocular pressure control after cataract extraction with posterior chamber intra ocular lens implantation in phacomorphic glaucoma. 48 patients with phacomorphic glaucoma were selected. Informed consent was taken from the patients. Preoperative Intraocular pressure was checked with Perkin Tonometer. All patients were examined with slit lamp. Patients were put on mannitol, systemic carbonic anhydrase inhibitor, and topical antiglaucoma drugs. Topical steroid / antibiotic eye drops were given for five days to one week to control inflammation. After control of IOP and inflammation, patients were operated by conventional extracapsular cataract extraction with posterior chamber Intraocular lens implantation. IOP was checked after one week and one month without anti glaucoma drugs. Total 48 patients comprising of 22(45.83%) male and 26 (54.16%) female were included in the study. Results: On presentation preoperative intraocular pressure of all the patients was in the range of 31 to 48 mmHg with mean intraocular pressure of 38.8 mmHg. After surgery no patients was put on antiglaucoma medication. All the patients were put on steroid and antibiotic topical drops for three weeks and systemic pain killer for five days. After one month post operative Intraocular pressure was in the range of 12 ? 20 mmHg with mean intraocular pressure of 15.52mm Hg. Conclusion: There is a significant control of intraocular pressure with normal range in phacomorphic glaucoma after extracapsular cataract extraction with posterior chamber intraocular lens implantation.

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