Analysis of clinical effect of angle separation surgery combined with surgery of phacoemulsification and intraocular lens implantation on visual recovery of patients with cataract combined with angle closure glaucoma
10.3969/j.issn.1672-8270.2024.05.020
- VernacularTitle:房角分离手术联合超声乳化人工晶状体植入术对白内障合并闭角型青光眼患者的临床疗效分析
- Author:
Hongyan WANG
1
;
Kun ZHANG
;
Qian LI
;
Ying LIU
Author Information
1. 首都医科大学附属北京康复医院眼科 北京 100144
- Keywords:
Cataract;
Angle closure glaucoma;
Angle separation surgery;
Phacoemulsification and intraocular lens implantation;
Visual acuity
- From:
China Medical Equipment
2024;21(5):102-106
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of angle separation surgery combined with surgery of phacoemulsification and intraocular lens implantation on visual recovery of patients with cataract combined with angle closure glaucoma.Methods:A total of 198 patients with cataract combined with angle closure glaucoma who admitted to Beijing Rehabilitation Hospital between January 2022 and January 2023 were selected,and they were divided into control group(99 cases)and observation group(99 cases)based on the difference of treatment methods.The control group underwent cataract phacoemulsification and intraocular lens implantation combined with trabeculectomy,while the observation group underwent phacoemulsification and intraocular lens implantation combined with surgery of angle separation.The clinical related indicators and corneal endothelial integrity,the clinical efficacy at the 3rd month after surgery and the occurrence of complications before and after surgery between two groups were compared.Results:The clinical efficacy at the 3rd month of observation group was better than that of control group(x2=4.352,P<0.05).The visual acuity levels of both two groups were improved after surgical treatment,but there was no statistically significant difference between the two groups(P>0.05).The depth and angle of the anterior chamber of two groups appeared increase,and those of observation group were significantly higher than them of control group.The intraocular pressures of two groups appeared decrease,and that of observation group was significantly lower than that of control group(t=7.654,P<0.05).The density of corneal endothelial cells in both groups decreased after surgical treatment,while the decrease degree of observation group was significantly higher than that of control group.Both the average area of corneal endothelial cells and the corneal central thickness increased,while the increase degree of observation group was significantly smaller than that of control group(t=25.233,16.608,6.698,P<0.05).After surgical treatment,the total detection rate of the complications in the observation group was 8.08%,which was significantly lower than 19.19%in the control group(x2=5.189,P<0.05).Conclusion:The curative effect of the combination of angle separation surgery and phacoemulsification and intraocular lens implantation is effective in patients with cataract combined with angle closure glaucoma.It can effectively improve their visual acuity levels,and improve depth,angle and intraocular pressure of anterior chamber,which is more conveniently to maintain the integrity of corneal endothelial cells of patients.It has favorable safety.
