Follow-up results and literature review in the angle closure glaucoma

OBJECTÝVE
Evaluation of the follow-up results of patients diagnosed with angle-closure glaucoma (ACG) and the factors affecting the final intraocular pressure (IOP) level in these patients
MATERHIAL AND METHODS
Datas from 63 eyes of 43 patients diagnosed with angle-closure glaucoma between January 2016 and December 2019 were retrospectively analyzed. Six-month follow-up results of the patients were evaluated. Best corrected visual acuity (BCVA), biomicroscopic examination findings, IOP level, and treatment-related complications, if any, were examined at the time of admission and at the last examinations.
RESULTS
The mean age of 13 (30.3%) male and 30 (69.7%) female patients with a mean age of 62.24 ± 12.5 (36-84 years) was 32.23 ± 14.3 mmHg at the time of admission, while the mean IOP level at the last examination was 14. 41 ± 8.4 mmHg. Acute angle-closure was observed in twenty-three (34%) eyes. The most common treatment method was peripheral laser iridotomy (PLI) and the most common surgical lens extraction (LE). The mean IOP reduction was 19.71 ± 4.3 mmHg, 20.6 ± 9.5 mmHg, 31.03 ± 12.20 mmHg, 17.73 ± 2.8 mmHg in the PLI, LE, PLI and LE groups, respectively. At the end of six months, the IOP level in 55 (88%) eyes was between 10 mmHg and 21 mmHg. Blindness developed in three eyes.
CONCLUSION
In our study; Six-month follow-up data of newly diagnosed ACG patients were presented. greater IOP reduction was achieved in groups where lens extraction or trabeculectomy was performed with peripheral laser iridotomy. There was no statistically significant difference in IOP reduction and surgical complications with lens extraction and trabeculectomy. (p = 0.3)

Açý kapanmasý glokomunda takip sonuçlarý ve literatür incelemesi

Amaç: Açý kapanmasý glokomu (AKG) tanýsý alan hastalarýn takip sonuçlarýnýn ve bu hastalarda nihai göz içi basýncý (GÝB) düzeyine etki eden faktörlerin deðerlendirilmesi
Method: Ocak 2016 - Aralýk 2019 tarihleri arasýnda açý kapanmasý glokomu tanýsý alan 43 hastanýn 63 gözüne ait veriler retrospektif olarak incelendi. Hastalarýn altý aylýk takip sonuçlarý deðerlendirildi. Baþvuru anýndaki ve son muayenelerindeki en iyi düzeltilmiþ görme keskinlikleri (EÝDGK), biyomikroskopik muayene bulgularý, GÝB seviyesi, uygulanan tedavi yöntemleri varsa tedavilere baðlý komplikasyonlar incelendi.
Bulgular: Yaþ ortalamalarý 62.24 ± 12.5 (36-84 yýl ) yýl olan 13’ü (%30.3) erkek, 30’u (%69.7) kadýn toplam 43 hastanýn baþvuru anýndaki ortalama GÝB 32,23 ± 14,3 mmHg iken son muayenedeki ortalama GÝB düzeyi 14,41 ± 8.4 mmHg idi. Yirmiüç (% 34) gözde akut açý kapanmasý görüldü. En sýk uygulanan tedavi yöntemi periferik laser iridotomi (PLI), en sýk uygulanan cerrahi lens ekstraksiyonu (LE) oldu. PLI, LE, PLI ve LE birlikte, trabekülektomi uygulanan gruplarda sýrasýyla 19,71±4.3 mmHg, 20.6 ±9,5 mmHg, 31.03 ±12.20 mmHg, 17,73±2.8 mmHg’lýk ortalama GÝB düþüþü saðlandý. Altý ay sonunda gözlerin 55’inde (%88) GÝB seviyesi 10 mmHg ile 21 mmHg seviyeleri arasýndaydý. Üç gözde körlük geliþmiþti.
Sonuç: Çalýþmamýzda; yeni taný alan AKG hastalarýnýn altý aylýk takip verileri sunuldu. Lens ekstraksiyonu veya trabekülektominin periferik laser iridotomiyle birlikte uygulandýðý gruplarda daha fazla GÝB düþüþü saðlandý. Lens ekstraksiyonu ve trabekülektomi arasýnda GÝB seviyesi düþüþü ve cerrahi komplikasyon geliþme oraný açýsýndan istatistiksel anlamlý farklýlýk yoktu. (p=0.3)