{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T18:45:46Z","timestamp":1788201946897,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2016,4,4]],"date-time":"2016-04-04T00:00:00Z","timestamp":1459728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2016,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To analyse the effect of cataract surgery on diurnal intra\u2010ocular pressure (<jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content>) fluctuation in primary angle\u2010closure glaucoma (<jats:styled-content style=\"fixed-case\">PACG<\/jats:styled-content>) eyes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010nine eyes of 24 patients with <jats:styled-content style=\"fixed-case\">PACG<\/jats:styled-content> scheduled for cataract surgery were enrolled to this prospective study. A record was made which included mean <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> measurement, anterior chamber depth (<jats:styled-content style=\"fixed-case\">ACD<\/jats:styled-content>), anterior chamber angle (<jats:styled-content style=\"fixed-case\">ACA<\/jats:styled-content>), number of antiglaucomatous medications, visual field analysis (mean deviation \u2013 <jats:styled-content style=\"fixed-case\">MD<\/jats:styled-content> and pattern standard deviation \u2013 <jats:styled-content style=\"fixed-case\">PSD<\/jats:styled-content>) and responses to the Glaucoma Quality of Life\u201015 (<jats:styled-content style=\"fixed-case\">GQL<\/jats:styled-content>\u201015) questionnaires. The eyes were re\u2010evaluated at 2 and 3\u00a0months of cataract surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> fluctuation was decreased from 4.58\u00a0\u00b1\u00a02.07\u00a0mmHg to 2.84\u00a0\u00b1\u00a01.5\u00a0mmHg (p\u00a0&lt;\u00a00.001). The decrease in mean <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content>, the number of glaucoma eye drops required (p\u00a0&lt;\u00a00.001, p\u00a0=<jats:italic>\u00a0<\/jats:italic>0.012, respectively) and the increase in mean <jats:styled-content style=\"fixed-case\">ACD<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> ACA<\/jats:styled-content> grading and <jats:styled-content style=\"fixed-case\">SITA<\/jats:styled-content>\u2010standard <jats:styled-content style=\"fixed-case\">MD<\/jats:styled-content> (p\u00a0&lt;\u00a00.001, p\u00a0&lt;\u00a00.001, and p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.01, respectively) were statistically significant. The mean <jats:styled-content style=\"fixed-case\">GQL<\/jats:styled-content>\u201015 score was also improved (p\u00a0&lt;\u00a00.001). The change in <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> fluctuation correlated positively with the preoperative <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> fluctuation (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.56 p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.00), the change in <jats:styled-content style=\"fixed-case\">ACD<\/jats:styled-content> (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.703, p\u00a0&lt;\u00a00.001) and the change in <jats:styled-content style=\"fixed-case\">ACA<\/jats:styled-content> (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.664, p\u00a0&lt;\u00a00.001). In multivariate analysis, preoperative <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> fluctuation and postoperative increase in <jats:styled-content style=\"fixed-case\">ACD<\/jats:styled-content> were significantly associated with a reduction in <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> fluctuation of an average of 1.1\u00a0mmHg per unit change (p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.00 and p<jats:italic>\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0.019, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Cataract surgery in <jats:styled-content style=\"fixed-case\">PACG<\/jats:styled-content> provides the opportunity to address many pathologies with one intervention; improving vision, diminishing <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content>, blunting <jats:styled-content style=\"fixed-case\">IOP<\/jats:styled-content> fluctuation, reducing need for medications, eliminating a narrow angle and improving <jats:styled-content style=\"fixed-case\">GQL<\/jats:styled-content>\u201015 scores.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13023","type":"journal-article","created":{"date-parts":[[2016,4,4]],"date-time":"2016-04-04T07:23:17Z","timestamp":1459754597000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Intra\u2010ocular pressure fluctuation after cataract surgery in primary angle\u2010closure glaucoma eyes medically controlled after laser iridotomy"],"prefix":"10.1111","volume":"94","author":[{"given":"Pelin","family":"\u00d6zyol","sequence":"first","affiliation":[{"name":"Department of Ophthalmology Faculty of Medicine Mugla Sitki Kocman University Mugla Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erhan","family":"\u00d6zyol","sequence":"additional","affiliation":[{"name":"Department of 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