Clinical study of phacoemulsification and goniosynechialysis for primary angle -closure glaucoma
10.3980/j.issn.1672-5123.2015.7.38
- VernacularTitle:白内障超声乳化联合房角分离术治疗不同范围房角关闭的原发性闭角型青光眼
- Author:
Jing, HE
;
Ping, XIE
;
Jun, OUYANG
- Publication Type:Journal Article
- Keywords:
primary angle - closure glaucoma;
cataract;
goniosynechialysis
- From:
International Eye Science
2015;(7):1251-1252
- CountryChina
- Language:Chinese
-
Abstract:
AlM:To discuss the clinical effect and safety of the combined surgeries of phacoemulsification and goniosynechialysis for patients with primary angle -closure glaucoma ( PACG) .METHODS:Eighty-three eyes of 83 patients with PACG and cataract were ranomized into two groups. Group A:39 patients with 39 eyes of angle-closure <180.;Group B:44 patients with 44 eyes angle - closure ≥180.. The changes of visual acuity, anterior chamber depth ( ACD) , anterior chamber angle and lOP after operation were measured. The follow-up period was for 1a.RESULTS: The visual acuity was improved significantly in both group after operation. No significantly difference in ACD, anterior chamber angle after operation in two groups (P>0. 05). The lOP in group A was lower than that in group B 3mo after operation, there was statistical significance (P<0. 05).CONCLUSlON:Phacoemulsification and goniosynechialysis can deepen ACD significantly. This method make the anterior chamber angle open, can reduce lOP and improve the patients’ visual acuity, especially in patients with PACG. lt is a safe and effective approach to patients with PACG and cataract.
