Clear Lens Extraction in PACG
Clear Lens Extraction in PACG
Lens-based treatment for angle closure. This patient-education article is written by the glaucoma service at Suraj Eye Institute, Nagpur.
Clear Lens Extraction in PACG
Outcomes and Monitoring
CLE lowers IOP by 3–6 mmHg in most PACG patients, with many reducing or eliminating medications. The angle invariably deepens and widens, documented on post-operative AS-OCT and gonioscopy. Patients with advanced PACG and significant optic nerve damage or extensive PAS may not achieve satisfactory IOP on CLE alone and may require additional glaucoma surgery. Post-operative monitoring includes IOP assessment at 1 week, 1 month, 3 months, and then 6-monthly, with repeat visual field and OCT assessment at each visit.
Our glaucoma and cataract teams at Suraj Eye Institute, Nagpur, work jointly to offer CLE for PACG patients using the latest phacoemulsification platforms with advanced viscoelastic strategies for shallow-chamber surgery. Pre-operative planning includes comprehensive biometry (IOLMaster), AS-OCT angle assessment, gonioscopy, and optic nerve evaluation to select the optimal IOL and surgical strategy. Post-operative angle documentation and IOP trending ensure each patient achieves their target IOP.