The clinical effect of endoscopic cyclophotocoagulation in the treatment of refractory glaucoma in contrast with glaucoma drainage device implant
10.3969/j.issn.1006-5725.2017.06.023
- VernacularTitle:内窥镜睫状体光凝术与青光眼阀植入术治疗难治性青光眼的对比研究
- Author:
Nazye WANG
;
Zhipeng YOU
;
Guodong LI
- Keywords:
Endoscopic cyclophotocoagulation;
Glaucoma drainage device implant;
Refractory glaucoma;
Complication
- From:
The Journal of Practical Medicine
2017;33(6):935-938
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the efficacy of ECP and glaucoma drainage device implant in the management of refractory glaucoma. Methods A retrospective study was explored in refractory glaucoma in 99 eyes,in which there were 50 eyes in the ECP group(group A)and 49 eyes in the group of glaucoma drainage device implant (group B). The changes of intraocular pressure (IOP),visual acuity and complication were observed. Results (1)IOP:There was statistically significant difference in IOP between the preoperative and last follow-up in each group(T-Test,t = 2.47,t = 2.51,P < 0.05),and statistically significant difference in IOP between the two groups in the rest of time points of postoperation except the 2 and 7 days after operation.(2)BCVA:T The visual acuity was no statistically significant difference between the two groups(χ2-Test,χ2 = 37.85,P >0.05).(3)Complication:The early complications of the group A included anterior chamber exudation ,short-term high IOP,hyphema. In the group B,the early complications included shallow anterior chamber,hyphema, drainage valve block and high IOP,MSCH,choroidal detachment,while the medium-term complication was glaucoma valve fiber wrapped high IOP and the long-term complications included glaucoma drainage tube rejection , exposure and displacement,and endophthalmitis,conjunctival hyperplasia. Conclusion ECP and glaucoma drainage implant can be effective in the treatment of refractory glaucoma. The ECP has less complications.
