Mohammad Alam, Mohammad Idrees, Jahanzeb Durrani.
Recovery of Visual Acuity after Cataract Extraction with Intraocular Lens Implantation in Phacomorphic Glaucoma.
Ophthalmol Update Jan ;13(3):208-11.

Objective: To find out visual acuity recovery after cataract extraction with Intraocular lens implantation in phacomorphic glaucoma. Materials and Method: This retrospective study was conducted in KDA teaching Hospital Kohat from January 2009 to December, 2013 with the objective to find out visual acuity recovery after cataract extraction with Intraocular lens implantation in phacomorphic glaucoma. In this study total 48 patients suffering from phacomorphic glaucoma with VA of PL positive or better were included. Informed consent was taken from all the patients. Preoperative IOP was checked with Perkins? Tonometer. Patients were examined with slit lamp. IOP was controlled with mannitol, carbonic anhydrase inhibitor and topical beta blocker when there was no contra-indication. Steroids were given topically to control inflammation. Visual acuity was checked. Antiglaucoma drugs and steroids were given for one week. All the patients were booked for the surgery. Biometry was done. After control of IOP and inflammation, extracapsular cataract extraction was done and intraocular lenses were implanted. Visual acuity was checked after 1st post operative day one week one month and best corrected visual acuity after two months when stitches were removed. Total 48 patients comprising of 22(45.83%) male and 26(54.16%) female were included in the study. Result: At presentation preoperative Visual Acuity of counting finger was present in 9(18.75%) patients, hand movement in 29(60.41%) and perception of light in 10(20.83%) patients. After two months of surgery best corrected Visual Acuity of 6/18 ? 6/24 was present in 11(22.91%) patients, 6/36 ? 6/60 in 26(54.16%) patients, counting finger in 7(14.58%) patients and hand movement in 4(8.33%) patients. Conclusion: Cataract extraction after IOP control is the definitive treatment of phacomorphic glaucoma and visual acuity is improved.

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