Publication Details
Abstract
Closed-angle glaucoma is a vision-threatening condition characterized by obstruction of aqueous humor outflow due to anatomical narrowing of the anterior chamber angle. Traditional management includes pharmacological therapy and laser procedures; however, surgical approaches such as clear lens extraction have gained increasing attention. This study evaluates the clinical effectiveness of lensectomy in patients with closed-angle glaucoma without significant lens opacity. The procedure aims to deepen the anterior chamber, widen the iridocorneal angle, and reduce intraocular pressure. Clinical outcomes, anatomical changes, and postoperative complications were analyzed. The results demonstrate that removal of the clear lens significantly improves aqueous outflow and provides sustained intraocular pressure control. These findings support the role of lensectomy as an effective intervention in selected patients, offering both anatomical and functional benefits.
Closed-angle glaucoma represents a complex ophthalmic disorder in which structural factors within the anterior segment lead to impaired aqueous humor circulation and progressive optic nerve damage. Surgical removal of the transparent crystalline lens has emerged as an effective method to correct anatomical predisposition and restore physiological fluid dynamics. This analysis evaluates the impact of lens extraction on intraocular pressure control, anterior chamber configuration, and overall functional outcomes. Clinical and morphological assessments indicate that this intervention produces significant and sustained improvement in ocular parameters. The results confirm that addressing lens-related anatomical crowding provides a reliable approach to disease management and reduces the need for long-term pharmacological therapy.