J Korean Ophthalmol Soc.  2009 Nov;50(11):1669-1673.

The Refractive Change After Cataract Surgery in Patients With Acute Primary Angle Closure

• Kim JE
• Park SW

Abstract

PURPOSE
To evaluate the change of postoperative refraction after cataract surgery in patients with a history of acute primary angle closure.
METHODS
A survey was conducted on 40 eyes of 40 patients who underwent cataract surgery with a history of acute primary angle closure, and 40 eyes of 40 patients who underwent cataract surgery only during the follow-up period of six months. We reviewed changes in the postoperative refraction and compared the difference between the postoperative spherical equivalent and target refraction in both groups.
RESULTS
In the group with a history of acute primary angle closure, target refraction was -0.20+/-0.27D and the six months postoperative spherical equivalent was -0.76+/-1.12D. In the group with cataract only, target refraction was -0.30+/-0.20D and the six months postoperative spherical equivalent was -0.22+/-0.57D. In the group with the history of acute primary angle closure, the postoperative refraction shifted to myopic refractive power significantly.
CONCLUSIONS
In cataract patients with a history of acute primary angle closure, there was a myopic shift in postoperative refraction after cataract surgery. Therefore, this finding should be considered during cataract surgery.

Keyword

Acute primary angle closure; Cataract; Refraction

MeSH Terms

Cataract
Eye
Follow-Up Studies
Humans

Reference

References

1. Lowe RF. Causes of shallow anterior chamber in primary angle-closure glaucoma. Ultrasonic biometry of normal and angle-closure glaucoma eyes. Am J Ophthalmol. 1969; 67:87–93.

2. Bleckmann H, Keuch R. Cataract extraction including posterior chamber lens implantation in the treatment of acute glaucoma. Ophthalmologe. 2006; 103:199–203.

3. Kim YW, Kim SD, Kim JD. Influence of lens factor and effect of selected cataract extraction on acute angle-closure glaucoma. J Korean Ophthalmol Soc. 2005; 46:1144–50.

4. Kee HS, Kim SJ, Yang KJ. Cilinical study on primary acute angle closure glaucoma. J Korean Ophthalmol Soc. 1995; 36:499–504.

5. Erie JC, Hodge DO, Gray DT. The incidence of primary angle closure- glaucoma in Olmsted County, Minnesota. Arch Ophthalmol. 1997; 115:177–81.

6. Chakravarti T, Spaeth GL. The prevalence of myopia in eyes with angle closure. J Glaucoma. 2007; 16:642–3.

7. An JW, On KK, Kim JD. Biometric measurements in acute angle closure glaucoma. J Korean Ophthalmol Soc. 1993; 34:648–53.

8. Lowe RF. Aetiology of the anatomical basis for primary angle-closure glaucoma. biometrical comparisons between normal eyes and eyes with primary angle-closure glaucoma. Br J Ophthalmol. 1970; 54:161–9.

9. Kyung SE, Lee JH. Biometric comparisons between acute and chronic angle closure glaucoma. J Korean Ophthalmol Soc. 2003; 44:685–91.

10. Tomlison A, Leighton DA. Ocular dimension in the heredity of angle closure glaucoma. Br J Ophthalmol. 1973; 57:475–86.

11. Kim SA, Kang JH, Park JI, Lee KH. Difference between postoperative refraction and predictive refraction after cataract operation in patients with coexisting cataract and primary angle-closure glaucoma. J Korean Ophthalmol Soc. 2005; 46:1983–8.

12. Iwase T, Tanaka N, Sugiyama K. Postoperative refraction changes in phacoemulsification cataract surgery with implantation of different types of intraocular lens. Eur J Ophthalmol. 2008; 18:371–6.

13. Hayashi K, Hayashi H. Comparison of the stability of 1-piece and 3-piece acrylic Intraocular lenses in the lens capsule. J Cataract Refract Surg. 2005; 31:337–42.

14. Donoso R, Mura JJ, Lopez M, Papic A. Emmetropization at cataract surgery. Looking for the best IOL power calculation formula according to the eye length. Arch Soc Esp Oftalmol. 2003; 78:477–80.