Effect of two surgical treatments for primary angle-closure glaucoma combined with cataract
10.3980/j.issn.1672-5123.2014.08.40
- VernacularTitle:原发性闭角型青光眼合并白内障两种手术方式疗效研究
- Author:
Yang, GAO
;
Xue-Bi, HUANG
- Publication Type:Journal Article
- Keywords:
primary angle-closure glaucoma;
cataract;
trabeculectomy;
combined surgery of glaucoma and cataract
- From:
International Eye Science
2014;(8):1508-1510
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To compare the effect of trabeculectomy and combined surgery of glaucoma and cataract treating primary angle-closure glaucoma ( PACG) with cataract. METHODS: It was retrospectively reviewed that 80 patients (90 eyes) with PACG and cataract were treated in our hospital from January 2012 to October 2013. They were divided into observation group ( combined surgery of glaucoma and cataract group, 45 eyes ) and control group ( trabeculectomy group, 45 eyes) . Postoperatively, all the patients were followed up for 6mo. Intraocular pressure ( IOP ) , visual acuity and complications were observed.
RESULTS: Compared to preoperative IOP, postoperative IOP was significantly reduced in both observation group and control group, while IOP was reduced more greatly in observation group (P=0. 003). Visual acuity was significantly improved in observation group, while it was not improved significantly in control group ( P = 0. 036 ). Compared to control group, complications such as shallow anterior chamber with hypotony, macular edema and anterior chamber inflammation were less observed in observation group, with significant statistical difference ( P=0. 002, P=0. 003, P=0. 001).
CONCLUSION: For patients with PACG and cataract, combined surgery of glaucoma and cataract is an effective surgery that can improve visual acuity and reduce IOP with fewer complications.
