Keep it simple: phaco alone

Lens extraction has a high probability of reducing IOP in angle closure disease, and can realistically be used as a standalone surgical intervention in selected cases.
In open angle disease, data drawn from studies lacking e.g. gonioscopy do not allow informed conclusions. IOP lowering after lens extraction in POAG is of only mild-moderate amount, is unpredictable and is often not sustained. As a specific surgical strategy to treat POAG, combination with a glaucoma operation is more often needed.

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Friday, March 29th, 2019

Aim: Lens extraction now has a proven role in the management of the more severe end of the spectrum of angle closure disease. Claims for its role in open angle disease are more contestable. This lecture aims to assess critically the available literature and from this outlines evidence-based guidelines for the use of lens extraction, including review from Bayes analysis of the probability of surgical success in each of open and closed angle disease.

Primary topic category

Surgical Management

Secondary topic category

Angle-Closure Glaucoma

Primary keyword(s)

Surgery
Target IOP
Glaucoma treatment

Secondary keyword(s)

MIGS