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Erschienen in: Spektrum der Augenheilkunde 5/2013

01.10.2013 | case report

Use of hypertonic glucose in the surgery of uncontrolled acute angle-closure combined with cataract

verfasst von: Jun Yu, Jian Ye, PhD

Erschienen in: Spektrum der Augenheilkunde | Ausgabe 5/2013

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Summary

We describe the use of hypertonic glucose to lessen the corneal edema resulting from persistent high intraocular pressure (IOP) in acute primary angle-closure (APAC) patients’ cataract surgery. Some patients are unresponsive to the antiglaucoma drugs, and the persistent high IOP make the corneal edema severe, which make it impossible to perform laser iridotomy or phacoemulsification directly. We perform a temporal incision on the transparent cornea and use the gossypium asepticum with 50 % hypertonic glucose over the cornea for 5 min in the surgery; the corneal edema alleviates as a result, and the cornea is clear enough to perform the surgery. The technique has been used in five cases and made the surgeries implement easier.
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Metadaten
Titel
Use of hypertonic glucose in the surgery of uncontrolled acute angle-closure combined with cataract
verfasst von
Jun Yu
Jian Ye, PhD
Publikationsdatum
01.10.2013
Verlag
Springer Vienna
Erschienen in
Spektrum der Augenheilkunde / Ausgabe 5/2013
Print ISSN: 0930-4282
Elektronische ISSN: 1613-7523
DOI
https://doi.org/10.1007/s00717-013-0184-3

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