Analysis of Retinal Nerve Fibre Layer Changes in Cases of Phacomorphic Angle Closure Post Phacoemulsification

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dc.contributor.authorSahai, Anshuen_US
dc.contributor.authorFarooq, Shaheenen_US
dc.contributor.authorShamshad, Mohammad Abiden_US
dc.contributor.authorSharma, Meenakshien_US
dc.contributor.authorKumar, P Ratanen_US
dc.date.accessioned2019-11-16T07:27:20Z
dc.date.available2019-11-16T07:27:20Z
dc.date.issued2017-10
dc.description.abstractIntroduction: To investigate the retinal nerve fibre layer (RNFL) changes after an acute attack of phacomorphic angle closure. Methods: This prospective study involved 25 cases of phacomorphic angle closure that underwent phacoemulsification and intraocular lens insertion after intraocular pressure lowering. Apart from visual acuity and intraocular pressure (IOP), RNFL thickness was measured by optical coherence tomography (OCT) at 3–6 months post attack. Result: All cases had mean phacomorphic duration of <10 days. Postoperatively, best correct Snellen visual acuity was 0.42±0.23 and IOP at 6 months was 13.92 ± 2.41 mmHg. There was no difference RNFL between the attack and contralateral eye at 3 months post attack (both
p = 0.102). At 6 months post attack, there was significant thinning in the average (p <0.001), superior (p =<0.001), and inferior (p = 0.001) RNFL. Patients with <5 days duration of phacomorphic angle closure are likely to have reasonable postoperative vision. Conclusion: An acute episode of phacomorphic angle closure can trigger an accelerated RNFL thinning despite normal IOP and open angles, most noticeable in the superior and inferior quadrants, occurring between 3 and 6 months post attack. There is a need of long term follow up of such patients.en_US
dc.identifier.affiliationsDirector, Sahai Hospital and Research centre, Bhabha Marg, Jaipur.en_US
dc.identifier.affiliationsSenior Resident, Sahai Hospital and Research centre, Bhabha Marg, Jaipur.en_US
dc.identifier.affiliationsConsultant Sahai Hospital and Research centre, Bhabha Marg, Jaipur.en_US
dc.identifier.affiliationsConsultant Sahai Hospital and Research centre, Bhabha Marg, Jaipur.en_US
dc.identifier.affiliationsConsultant Sahai Hospital and Research centre, Bhabha Marg, Jaipur.en_US
dc.identifier.citationSahai Anshu, Farooq Shaheen, Shamshad Mohammad Abid, Sharma Meenakshi, Kumar P Ratan. Analysis of Retinal Nerve Fibre Layer Changes in Cases of Phacomorphic Angle Closure Post Phacoemulsification. International Archives of BioMedical and Clinical Research. 2017 Oct-Dec; 3(4): 116-120en_US
dc.identifier.issn2454-9894
dc.identifier.issn2454-9886
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/184491
dc.languageenen_US
dc.publisherIbn Sina Academy of Medieval Medicine & Sciencesen_US
dc.relation.issuenumber4en_US
dc.relation.volume3en_US
dc.source.urihttps://doi.org/10.21276/iabcr.2017.3.4.29en_US
dc.subjectRetinal Nerve Fibre Layeren_US
dc.subjectOptical Coherence Tomographyen_US
dc.subjectPhacomorphic Angle Closurecen_US
dc.subjectCup-Disc Ratioen_US
dc.titleAnalysis of Retinal Nerve Fibre Layer Changes in Cases of Phacomorphic Angle Closure Post Phacoemulsificationen_US
dc.typeJournal Articleen_US
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