Impact of Lens Thickness on Outcomes After Cataract Versus Combined Cataract-Glaucoma Surgery in a Predominantly Black Population.
Thicker natural lens was associated with greater eye pressure reduction after surgery
Impact of Lens Thickness on Outcomes After Cataract Versus Combined Cataract-Glaucoma Surgery in a Predominantly Black Population.
We aimed to evaluate the relationship between lens thickness (lens thickness) and postoperative outcomes following cataract surgery versus combined cataract-glaucoma procedures in a predominantly Black and Caribbean population, and to assess the utility of lens thickness and the Laroche Glaucoma Risk Calculator in predicting intraocular pressure (IOP) reduction.
We aimed to evaluate the relationship between lens thickness (lens thickness) and postoperative outcomes following cataract surgery versus combined cataract-glaucoma procedures in a predominantly Black and Caribbean population, and to assess the utility of lens thickness and the Laroche Glaucoma Risk Calculator in predicting intraocular pressure (IOP) reduction.
This retrospective cohort study included 187 eyes from patients aged ≥50 years that underwent cataract surgery alone or combined cataract-glaucoma surgery (goniotomy or Ahmed retrobulbar/intraconal tube) at a single center in Queens, New York.
eyes with thicker lenses had a bigger drop in eye pressure after surgery
Mean lens thickness was 4.53 mm.
Greater lens thickness was associated with increased postoperative IOP reduction across all groups.
Combined procedures yielded greater IOP reduction than cataract surgery alone, with the largest decrease in the Ahmed group (-4.56 mmHg).
Cataract surgery alone produced smaller but significant reductions (-1.58 mmHg) and the greatest visual acuity improvement.
Increased lens thickness may serve as a predictive biomarker for postoperative IOP reduction.
Incorporating lens thickness and the Laroche Glaucoma Risk Calculator into preoperative planning may enhance surgical decision-making and outcomes, particularly in underserved populations.