Phacoemulsification: an alternative for prophylaxis of a glaucomatous crisis

Glaucomatous crisis is an eye disease that is manifested as a sudden rise in intraocular pressure and is accompanied by intense and continuous pain due to blockade of the humor aqueous flow. This block occurs due to a narrowing of the angle between the iris and cornea, primarily due to cataract formation. The discovery of iridotomy for the treatment and prevention of glaucomatous crisis caused by narrow-angle glaucoma, as a minimally invasive procedure, greatly contributed to its acceptance and diffusion among ophthalmologists. However, how to best treat patients with narrow-angle glaucoma and glaucomatous crisis remains controversial. This research, which was performed in a private clinic, suggests that cataract surgery with phacoemulsification is superior to peripheral iridotomy, a laser procedure in the iris aimed at avoiding glaucomatous crisis. Thus, a patient treated with phacoemulsification as the first choice will benefit from both greater comfort because they do not need to be subjected to multiple procedures and lower costs due to the dispersion of fewer medications after the procedure.

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