{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T17:51:39Z","timestamp":1793728299024,"version":"4.6.1"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose is to study the effect of cataract extraction on intraocular pressure (IOP) in patients with angle closure disease (ACD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this retrospective study, patients with ACD including medically uncontrolled and advanced primary angle closure glaucoma (PACG) who underwent only cataract surgery were included. The IOP trend was analyzed at postoperative day 1, day 7, 1 month, 3 months, 6 months, 1 year, and final follow-up along with requirement of antiglaucoma medication (AGM)\/surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 110 eyes of 79 patients [primary angle closure suspect (PACS): 21, PAC: 34, PACG: 55 eyes] were analyzed. Of these patients, 31 eyes had advanced PACG and 20 eyes had medically uncontrolled glaucoma. Best-corrected visual acuity &gt;6\/12 was seen in 51 eyes at baseline and 87 eyes at final follow-up. After cataract surgery alone, there was significant reduction (median) in IOP [19.1 \u00b1 18.00% (18.8) in PACS (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01), 8.55 \u00b1 17.9% (10) in PAC (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.04), 22.82 \u00b1 15.45%(14.3) in PACG (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01), 18.27 \u00b1 15.99% (14.5) in advanced PACG (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01) and 36.56 \u00b1 14.58% (28.57) in medically uncontrolled glaucoma (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01)] and AGM [51.85% (1) in PAC, 32.35% (2) in PACG, 17.71% (2) in advanced PACG, and 40.74% (1.5) in medically uncontrolled PACD] at median follow-up of 1, 2.5, 1, 1.3, and 1 year. Eleven PACG patients, who were on systemic medication preoperatively, were off systemic therapy at final follow-up, while six other PACG eyes (10.9%) required glaucoma surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Cataract surgery leads to significant drop in IOP across the spectrum of ACD with visually significant cataract. Cataract surgery may be considered initially for IOP control even in advanced or medically uncontrolled PACG followed by glaucoma surgery later if required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1917_18","type":"journal-article","created":{"date-parts":[[2019,8,26]],"date-time":"2019-08-26T03:09:46Z","timestamp":1566788986000},"page":"1433-1438","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":13,"title":["Intraocular pressure reduction in a spectrum of angle closure disease following cataract extraction"],"prefix":"10.4103","volume":"67","author":[{"given":"Surinder Singh","family":"Pandav","sequence":"first","affiliation":[{"name":"Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha Gautam","family":"Seth","sequence":"additional","affiliation":[{"name":"Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Arora","sequence":"additional","affiliation":[{"name":"Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal","family":"Thattaruthody","sequence":"additional","affiliation":[{"name":"Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Jurangal","sequence":"additional","affiliation":[{"name":"Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushmita","family":"Kaushik","sequence":"additional","affiliation":[{"name":"Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srishti","family":"Raj","sequence":"additional","affiliation":[{"name":"Advanced Eye Centre, Postgraduate Institute of Medical Education and Research, Sector-12, Chandigarh, Punjab, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20251013","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1016\/j.ophtha.2014.05.013","article-title":"Global prevalence of glaucoma and projections of glaucoma burden through 2040: A systematic review and 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