The curative effect of endoscopic cyclophotocoagulation combined with trabeculectomy for primary open angle glaucoma
10.3760/cma.j.cn115455-20220926-00834
- VernacularTitle:眼内窥镜辅助下的睫状体光凝联合小梁切开术治疗原发性开角型青光眼的疗效研究
- Author:
Wenjun DING
1
;
Xiaoya CHEN
;
Yanan LU
;
Ruixue WANG
;
Hua LI
Author Information
1. 徐州医科大学附属徐州市立医院 徐州市第一人民医院 徐州市眼病防治研究所眼科，徐州 221000
- Keywords:
Glaucoma, open-angle;
Endoscopy;
Cyclophotocoagulation;
Trabeculectomy
- From:
Chinese Journal of Postgraduates of Medicine
2023;46(5):390-394
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the curative effect of endoscopic cyclophotocoagulation combined with trabeculectomy for primary open angle glaucoma.Methods:From January 2020 to May 2021, 30 eyes of 30 patients with advanced primary open angle glaucoma with cataract who underwent endoscopic cyclophotocoagulation combined with trabeculectomy in the Municipal Hospital Affiliated to Xuzhou Medical University were retrospectively analyzed. The preoperative best corrected visual acuity, preoperative intraocular pressure (IOP) and numbers of anti-glaucoma medication were recorded. IOP, numbers of anti-glaucoma medication at 1 day, 3 months, 6 months and 1 year after operation, postoperative complications, the numbers of absolute success and qualified success were recorded.Results:All cases were followed up for 1 year. The best corrected visual acuity improved by more than one line in 26 eyes at 1 year after operation. Preoperative visual acuity was maintained in 3 eyes visual acuity decreased in 1 eye. The IOP and numbers of anti-glaucoma medication at 1 day, 3 months, 6 months and 1 year after operation were significantly different from those before operation ( P<0.01). At 1 year after operation, 8 patients were qualified successful and 17 patients were absolutely successful. Early hyphema in 30 eyes, transient ocular hypertension in 3 eyes ciliary body detachment in 0 eyes, corneal edema in 9 eyes, and anterior chamber exudation in 8 eyes. Conclusions:In this small sample size of study with follow-up for 12 months, the results showed that endoscopic cyclophotocoagulation combined with trabeculectomy in the treatment of advanced open angle glaucoma has good preliminary efficacy and safety. However, a large sample of cases is still needed to further study its long-term safety and efficacy.
