O impacto da cirurgia de catarata no tratamento do glaucoma primário de ângulo fechado: uma revisão sistemática
DOI:
https://doi.org/10.55892/jrg.v9i20.3255Palavras-chave:
Glaucoma de Ângulo Fechado, Extração de Catarata, Pressão Intraocular, Terapêutica, OftalmologiaResumo
O glaucoma primário de ângulo fechado (GPAF) é uma neuropatia óptica caracterizada pelo bloqueio da via de drenagem do humor aquoso, levando à elevação da pressão intraocular (PIO) e possível perda visual irreversível. O presente estudo trata-se de uma revisão sistemática da literatura cujo objetivo principal é avaliar o impacto da cirurgia de catarata (facoemulsificação) no tratamento e controle do GPAF. Foram selecionados 15 estudos em bases de dados como PubMed, Embase, SciELO, LILACS e Cochrane Library, englobando ensaios clínicos, estudos de coorte e meta-análises. Os resultados demonstraram que a facoemulsificação promove redução significativa da PIO e diminuição da necessidade de medicações antiglaucomatosas a longo prazo, além de proporcionar alterações anatômicas favoráveis, como o aprofundamento da câmara anterior e abertura do ângulo iridocorneano. Conclui-se que a cirurgia de catarata não se restringe à reabilitação visual, consolidando-se como uma intervenção terapêutica primária e eficaz no manejo do GPAF, devendo ser considerada de forma individualizada.
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