Clinical observation of phacoemulsification and IOL combined with goniosynechialysis for age-related cataract merging with PACG
10.3980/j.issn.1672-5123.2017.10.20
- VernacularTitle:超声乳化人工晶状体植入联合房角分离术治疗年龄相关性白内障合并PACG
- Author:
Xiao-Jing, LIU
;
Shu-Ling, GUO
;
Qing-Xia, LI
;
Hai-Bing, LI
;
Guang-Xin, REN
;
Cheng-Juan, WANG
;
Chun-Qiang, GUO
;
Xiao-Dong, XING
;
Huai-Ling, WU
- Keywords:
goniosynechialysis;
phacoemulsification;
angle-closure glaucoma;
cataract
- From:
International Eye Science
2017;17(10):1883-1885
- CountryChina
- Language:Chinese
-
Abstract:
AIM: To investigate the curative effect of phacoemulsification and intraocular lens ( IOL ) implantation combined with goniosynechialysis in the treatment of age-related cataract merging with primary angle-closure glaucoma ( PACG) . · METHODS: Totally 80 patients with age-related cataract merging with PACG were in our hospital from January 2014 to January 2016. The preoperative average intraocular pressure ( IOP) was 33. 22 ± 3. 17mmHg; the average depth of anterior chamber was 2. 07 ± 0. 15mm;the dynamic situation of primary angle closure ≤1/2 cycle by gonioscope. They were randomly divided into Group A and B for doing a study. All the two groups were treated with phacoemulsification and intraocular lens implantation. And the Group A was with goniosynechialysis. The following up period was 2mo, and we observed the IOP, chamber depth and the anterior chamber angle. · RESULTS: The change of chamber depth and intraocular pressure about the two groups: the average intraocular pressure of the Group A was 15. 11 ± 3. 67mmHg,the chamber depth was 3. 11±0. 08mm;those of the Group B were 17. 24 ± 1. 67mmHg, 2. 76 ± 0. 15mm respectively; the differences had statistical significance (P<0. 05). Postoperatively, there were 28 eyes (70%) in Group A with fully open anterior chamber angle, and 18 eyes (45%) in Group B (P<0. 05). · CONCLUSION: The phacoemulsification and intraocular lens implantation combined with goniosynechialysis in the treatment of age-related cataract merging with primary angle-dosure glaucoma is safe and reliable. It's simple to operate, and do not increase the risk of surgery.
