Application of 23G minimally vitrectomy trocar in acute angle closure glaucoma

VernacularTitle:23G套管针在急性闭角型青光眼中的应用
Author: Yuwei GAO ; Shuxin ZHANG ; Li SUN ; Xin ZHOU
Keywords: acute angle closure glaucoma; 23G trocar; minimally vitrectomy
From: Recent Advances in Ophthalmology 2017;37(4):369-371
CountryChina
Language:Chinese
Abstract: Objective To evaluate the outcome of 23G minimally vitrectomy trocar on eyes with acute angle closure glaucoma.Methods A retrospective review was performed of patients with acute angle closure glaucoma who underwent combined compound trabeculectomy from September,2014 to June,2015 in Beijing MEM care system.Intraoperative 23G minimally vitrectomy trocar was used in all of the patients.30 eyes of 30 patients were enrolled in the study.All patients were followed up for 12 months.Visual acuity,intraocular pressure and complications were observed.Results No serious complications such as explosive choroid hemorrhage and retinal hemorrhage occurred during operation.All of 30 eyes maintained adequate pressure control.The average postoperative IOP was (15.93 ± 1.35) mmHg (1 kPa =7.5 mmHg),was less than the preoperative (56.34 ± 6.96) mmHg (P =0.00).And the visual acuity in 23 eyes were improved.Conclusion Combined trabeculectomy with 23G minimally vitrectomy trocar in acute angle closure glaucoma patients is a kind of safe and effective operation method,can obviously reduce the intraoperative explosive choroid hemorrhage.