Cataract extraction slowed the visual field progression rate in patients with angle-closure glaucoma

Yu-Chun Cheng; Ming-Hui Sun; Wei-Chi Wu; Wei-Wen Su

doi:10.4103/tjo.tjo_42_20

Cataract extraction slowed the visual field progression rate in patients with angle-closure glaucoma

Taiwan J Ophthalmol. 2020 Oct 7;11(4):386-388. doi: 10.4103/tjo.tjo_42_20. eCollection 2021 Oct-Dec.

Authors

Yu-Chun Cheng^{1

2}, Ming-Hui Sun^{1

2}, Wei-Chi Wu^{1

2}, Wei-Wen Su^{1

2}

Affiliations

¹ Department of Ophthalmology, Chang Gung Memorial Hospital, Linkou, Taiwan.
² College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Abstract

Purpose: The purpose of this study is to evaluate the rate of progression of Humphrey visual field before and after the cataract surgery in patients with angle-closure glaucoma.

Material and methods: Patients with angle-closure glaucoma who underwent regular visual field (VF) examination and received cataract surgery during the follow-up periods were retrospectively reviewed. The visual field rate of progression, visual acuity (VA), intraocular pressure (IOP), and number of glaucoma medication before and after cataract surgery were compared.

Results: A total of 26 eyes were included. The mean follow-up duration before and after the cataract surgery were 5.14 ± 3.31 years and 5.97 ± 2.35 years. After cataract surgery, the IOP and VA improved significantly. The visual field rate of progression significantly slowed down after cataract surgery from - 1.39 ± 1.31 dB/year preoperatively to - 0.34 ± 0.64 dB/year postoperatively (P = 0.003).

Conclusion: The ACG eyes had rapid VF decline before cataract extraction, which was slowed down significantly after cataract removal.

Keywords: Angle closure glaucoma; cataract surgery; visual field.