Spektrum der Augenheilkunde

, Volume 27, Issue 5, pp 249–251 | Cite as

Use of hypertonic glucose in the surgery of uncontrolled acute angle-closure combined with cataract

  • Jun Yu
  • Jian YeEmail author
case report


We describe the use of hypertonic glucose to lessen the corneal edema resulting from persistent high intraocular pressure (IOP) in acute primary angle-closure (APAC) patients’ cataract surgery. Some patients are unresponsive to the antiglaucoma drugs, and the persistent high IOP make the corneal edema severe, which make it impossible to perform laser iridotomy or phacoemulsification directly. We perform a temporal incision on the transparent cornea and use the gossypium asepticum with 50 % hypertonic glucose over the cornea for 5 min in the surgery; the corneal edema alleviates as a result, and the cornea is clear enough to perform the surgery. The technique has been used in five cases and made the surgeries implement easier.


Hypertonic glucose Uncontrolled acute angle-closure combined with cataract Corneal edema 


Conflict of interest

The authors have no other conflicting financial interest.

Supplementary material

(MP4 Video 8033 kb)


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Copyright information

© Springer-Verlag Wien 2013

Authors and Affiliations

  1. 1.Department of Ophthalmology, Research Institute of Surgery & Daping HospitalThird Military Medical UniversityChongqingP. R. China
  2. 2.Department of Ophthalmology, The First Outpatient Department of Chengdu Military District InstitutionChengdu Army General HospitalChengduP. R. China

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