Research on surgical methods for angle-closure glaucoma with different closure conditions accompanied with cataract
10.3980/j.issn.1672-5123.2016.6.24
- VernacularTitle:不同房角关闭状态闭角型青光眼合并白内障的手术方式探讨
- Author:
Wu-Ping, XU
;
Wei, HONG
;
Jian-Gang, ZHU
- Publication Type:Journal Article
- Keywords:
angle - closure glaucoma;
cataract;
phacoemulsification;
trabeculectomy;
goniosynechialysis
- From:
International Eye Science
2016;16(6):1099-1101
- CountryChina
- Language:Chinese
-
Abstract:
? AIM: To observe the efficacy and safety of the phacoemulsification combined with goniosynechialysis and the phacoemulsification combined with trabeculectomy for angle-closure glaucoma ( ACG ) with different closure conditions accompanied with cataract.?METHODS:A total of 65 patients (70 eyes) with primary ACG accompanied with cataract were selected from those admitted in our hospital and were given phacoemulsification with goniosynechialysis ( group A, 30 patients with 33 eyes ) and the phacoemulsification with trabeculectomy ( group B, 35 patients with 37 eyes ) according to the conditions of the closed anterior angle, respectively. The two groups of patients were observed for preoperative and postoperative intraocular pressure ( IOP ) , vision, anterior chamber depth, and complications, and were followed up for 6. 5mo (6-8mo) on average.?RESULTS: Mean postoperative IOP in either group A or group B at 1mo after operation was of statistically significant difference, compared with mean preoperative IOP (P<0. 05). Postoperative 1-week vision in each group was of statistically significant difference, compared with preoperative vision (P<0. 05). Postoperative 1-month mean anterior chamber depth in each group was of statistically significant difference, compared with preoperative anterior chamber depth (P<0. 05). There were no significant differences between the two groups on postoperative 1-month mean anterior chamber depth ( P>0. 05) and postoperative complications (P>0. 05).?CONCLUSION: Clinical doctors can choose appropriate treatment according to different conditions of the closed anterior angle in patients with primary angle- closure glaucoma.
