Clinical analysis of combined surgery on 68 patients with refractory glaucoma and coexisting cataract
- VernacularTitle:难治性青光眼合并白内障联合手术治疗的临床研究
- Author:
Xiangdong LIU
;
Xiaodong ZHOU
;
Xiangping LIU
- Publication Type:Journal Article
- Keywords:
Manual small incision cataract surgery;
Intraocular lens implantation;
Trabeculectomy;
Glaucoma;
Cataract
- From:
Journal of Chinese Physician
2012;(z2):19-21
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical application of the combined therapy of manual small incision cataract surgery (MSICS) with intraocular lens (IOL) implantation and trabeculectomy for patients with refractory glaucoma and coexisting cataract.Methods In our hospital,68 patients (76 eyes) with angle-closure glaucoma of continuously high intraocular pressure (lOP) and coexisting cataract were included in this study from April 2008 to October 2011.All of them were treated with the combination of MSICS with IOL implantation and trabeculectomy.Postoperative visual acuity,IOP,anterior chamber depth (ACD),filtering bleb,ocular fundus and complications were observed.Results Each operation was successfully completed.Postoperative visual acuity and IOP were significantly improved and decreased,respectively,compared to the preoperative.ACD was deepen and filtering bleb was effectively established in the postoperative eyes without significant complications.Conclusion The combined surgery of MSICS with IOL implantation and trabeculectomy might effectively increase visual acuity and decrease IOP,which was a safe and effective approach for patients with refractory glaucoma and coexisting cataract.
