Lens Extraction in Primary Angle-Closure Glaucoma Management
When deciding on the optimal surgical procedure, it is important to consider the personalized risks of surgery to the individual. In particular, one needs to gauge the risk of a transient IOP spike that is commonly seen following lens extraction alone. Also, the possibility of preexisting structural trabecular damage in PACG eyes may mitigate against the efficacy of lens extraction alone in such eyes, and may result in phacoemulsification alone being not effective in controlling the IOP.
Other Considerations for Lens Extraction
When deciding on the optimal surgical procedure, it is important to consider the personalized risks of surgery to the individual. In particular, one needs to gauge the risk of a transient IOP spike that is commonly seen following lens extraction alone. Also, the possibility of preexisting structural trabecular damage in PACG eyes may mitigate against the efficacy of lens extraction alone in such eyes, and may result in phacoemulsification alone being not effective in controlling the IOP.
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