Primary Phacoemulsification and Aspiration Combined with 25-Gauge Single-Port Vitrectomy for Management of Acute Angle Closure

Abstract

Purpose

To describe a technique using phacoemulsification and aspiration (PEA) combined with 25-gauge single-port vitrectomy as a primary treatment for acute angle closure (AAC).

Methods

Seventeen consecutive cases of AAC were treated with 1) transconjunctival limited single-port vitrectomy with a 25-gauge vitrector and 2) transcorneal PEA and cortex removal followed by implantation of foldable intraocular lenses (IOL).

Results

Intraocular pressure (IOP) control was achieved in all 17 eyes examined. Mean preoperative IOP was 51.8±13.1 mmHg, and mean IOP on postoperative day 1 was 18.3±8.5 mmHg. Additional anti-glaucoma surgery was necessary in one eye. IOL could not be implanted because of zonular dialysis in one eye. Postoperative complications were seen in three cases (one retinal hemorrhage and two papilledema).

Conclusions

The PEA procedure is efficient as a primary treatment of AAC. Single-port vitrectomy with a 25-gauge vitrector facilitated PEA and IOL implantation.

Keywords

Phacoemulsification and aspiration Acute angle closure Vitrectomy 25-gauge

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