Volume 27, Issue 136, June 2023

Risk factors, diagnosis and management of primary angle-closure glaucoma after cataract surgery: A systematic review and meta-analysis

Anunya Deewijit, Jing-Min Guo, Jun-Ming Wang^♦

Department of Ophthalmology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

^♦Corresponding author
Department of Ophthalmology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

ABSTRACT

Background: The world's most common reason for blindness is primary angle closure glaucoma (PACG) and treatment trends are changing. The development of anterior segment imaging has improved our understanding of pathophysiology and made it possible to monitor treatment modalities more accurately and objectively. This study investigates the risk factors, diagnosis and treatment strategies associated with PACG after cataract surgery. Methods: A systematic review using the PRISMA approach has been applied to ascertain the objective. Results: This study has identified 20 most relevant papers which presented the recent outcomes of PACG, its risk factors, diagnosis and management after cataract surgery. This study reveals several risk factors responsible for PACG, such as age, gender, ethnicity, ocular biometry and genetics. Most studies used a gonioscopy method, ultrasound bio microscopy (UBM), AS-OCT, SPAC and visual-field loss for PACG diagnosis. Conclusion: Cataract surgery offers the chance to treat many diseases with a single procedure in PACG, including enhancing vision, lowering IOP, minimizing IOP fluctuation, lowering medication requirements, removing a narrow-angle and raising GQL-15 scores. Nevertheless, the increasing frequency of cataract surgeries could potentially influence the occurrence of PACG.

Keywords: Blindness, gonioscopy, cataract, iridoplasty, iridotomy

Medical Science, 2023, 27, e265ms3030

PDF

DOI: https://doi.org/10.54905/disssi/v27i136/e265ms3030

Published: 21 June 2023