ABSTRACT

To retrospectively analyze clinical characteristics of patients diagnosed with phacomorphic glaucoma in the Ophthalmology Department of Trakya University Hospital.

This retrospective cross-sectional study was conducted with patients who were diagnosed with phacomorphic glaucoma in the Ophthalmology Department of Trakya University Hospital between January 2010 and January 2021.

Initially, 19 eyes from 19 patients diagnosed with phacomorphic glaucoma met the inclusion criteria. The mean preoperative best-corrected visual acuity was 0.1 ± 0.3 Snellen visual acuity (ranging from 0.001 to 1.0 Snellen visual acuity). A statistically significant increase in postoperative best-corrected visual acuity during the follow-ups has been observed. In terms of intraocular pressure levels, patients had mean preoperative 32.3 ± 11.2 mmHg (range:15-55 mmHg). The decrease in postoperative intraocular pressure levels during follow-ups was statistically significant.

Lens removal through phacoemulsification or intracapsular cataract extraction is an effective and safe procedure in the treatment of phacomorphic glaucoma, ensuring a satisfactory long-term intraocular pressure control and a rapid functional recovery. However, most of the patients are expected to have an outcome of favorable best-corrected visual acuity after surgery in the long term.

Keywords: Cataract, phacomorphic glaucoma, epidemiology, glaucoma