Extracapsular cataract extraction with posterior chamber lens implantationin capsular glaucoma

Purpose: To evaluate intraocular pressure (IOP) control after extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens (PCIOL) implantation in patients with capsular glaucoma (CG) and coexisting catara ct. Methods: This prospective study included 20 patients (20 eyes) having C G and cataract whose IOPs were under 22 mm Hg and controlled with antiglauc oma medication. All patients had ECCE with PCIOL implantation and the follo w-up period was at least 18 months. IOP was measured postoperatively at 3, 6, 9, 12 and 18 months and compared with preoperative IOP. Results: Followi ng the cataract extraction, PCIOL implantation produced a statistically sig nificant reduction in IOP at all time points compared with the preoperative IOP during the study period (p < 0.001). The mean preoperative IOP was 18. 25 +/- 1.83 mm Hg; postoperatively at 1 month, it was 13.45 +/- 2.06 mm Hg; at 3 months 14.80 +/- 2.50 mm Hg; at 6 months 15.35 +/- 1.27 mm Hg, at 12 months 14.85 +/- 1.87 mm Hg and at 18 months 15.15 +/- 1.42 mm Hg (p < 0.00 08). The mean reduction in IOP was 16.98% from baseline at 18 months postop eratively. The mean number of antiglaucoma medication was reduced from 1.35 /eye preoperatively to 0.60/eye postoperatively at 18 months (p < 0.0007), Conclusion: The result of our study revealed that ECCE with PCIOL implantat ion may be a reliable choice in controlling IOP in patients with CG, Copyright (C) 2000 S. Karger AG. Basel.