Phaco alone has advantages in patients with uncontrolled primary angle closure glaucoma

MILAN — Lens extraction may be an appropriate alternative to trabeculectomy in eyes with uncontrolled primary angle closure glaucoma, according to one surgeon.“PACG eyes have a shallower anterior chamber with a narrower drainage angle. The lens is abnormally thick, with a steeper anterior surface, and is positioned more anteriorly. By taking off the lens and implanting an IOL, we deepen the anterior chamber, widen the angle and reverse the anatomical predisposition to angle closure,” Clement C.Y. Tham, BM, BCh, FCOphth, FRCS, said at the annual joint meeting of Ocular Surgery News and the Italian Society of Ophthalmology.