Outcomes of 1.8-3.0 mm incision phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma with cataract

"AIM: To compare efficacy of coaxial microincisions (1.8 mm, 2.2 mm) and small incisions (3.0 mm) on phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma (PACG) with cataract. METHODS: Ninety-six patients (96 eyes) with PACG and cataract were recruited and random...

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Main Authors: Qing Wang, Zheng-Xuan Jiang, Rong-Feng Liao
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2020-02-01
Series:International Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.cn/en_publish/2020/2/20200207.pdf
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spelling doaj-11490923ba274db3ba5fd995da55950b2020-11-25T01:42:04ZengPress of International Journal of Ophthalmology (IJO PRESS)International Journal of Ophthalmology2222-39592227-48982020-02-0113224625110.18240/ijo.2020.02.07Outcomes of 1.8-3.0 mm incision phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma with cataractQing Wang0Zheng-Xuan Jiang1Rong-Feng Liao2Department of Ophthalmology, the First Affiliated Hospital of Anhui Medical University, Hefei 230031, Anhui Province, China; Department of Ophthalmology, the Fourth Affiliated Hospital of Anhui Medical University, Hefei 230012, Anhui Province, ChinaDepartment of Ophthalmology, the Second Hospital of Anhui Medical University, Hefei 230601, Anhui Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Anhui Medical University, Hefei 230031, Anhui Province, China"AIM: To compare efficacy of coaxial microincisions (1.8 mm, 2.2 mm) and small incisions (3.0 mm) on phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma (PACG) with cataract. METHODS: Ninety-six patients (96 eyes) with PACG and cataract were recruited and randomly divided into three groups between January 2015 and June 2017. Group A (3.0 mm incision), B (2.2 mm incision), and C (1.8 mm incision) comprised 30, 34 and 32 eyes respectively. All cases were treated with clear corneal incision phacoemulsification combined with trabeculectomy. Data including best corrected visual acuity (BCVA), corneal astigmatism, corneal endothelial cell counts (CECC), intraocular pressure (IOP), and complications were collected before the operation, and at postoperative 1d, 1 and 3mo. RESULTS: All the patients were successfully treated with surgery. The BCVA of groups B and C were significantly improved as compared to group A at postoperative 1d, 1 and 3mo (all P<0.05), but there was no difference between groups B and C at each time interval (all P>0.05). The corneal astigmatism of group A was statistically higher than that of group B (P=0.026); corneal astigmatism of group B was statistically higher than that of group C at postoperative 1d (P=0.006). The corneal astigmatism of group A at postoperative 3mo was significantly higher than that before operation (P=0.003). At postoperative 1 and 3mo, corneal astigmatism of groups B and C were significantly lower than that of group A (all P<0.05). The CECC in group B was significantly higher than that of group A (P=0.020), and CECC in group C was significantly higher than that of group B (P=0.034) at postoperative 1d. At postoperative 1 and 3mo, CECC of groups B and C were significantly higher than that of group A (all P<0.05). In each group, postoperative mean IOP at each time interval was significantly lower than preoperative IOP (all P<0.05). CONCLUSION: Coaxial microincision phacoemulsification combined with trabeculectomy for PACG with cataract has better curative efficacy in reducing postoperative corneal astigmatism and corneal endothelial cell injury than traditional small incision combined surgery, and the 1.8 mm microincision has better curative efficacy than 2.2 mm microincision in the early postoperative period." http://www.ijo.cn/en_publish/2020/2/20200207.pdfcoaxial microincisionglaucomacataractphacoemulsificationtrabeculectomy
collection DOAJ
language English
format Article
sources DOAJ
author Qing Wang
Zheng-Xuan Jiang
Rong-Feng Liao
spellingShingle Qing Wang
Zheng-Xuan Jiang
Rong-Feng Liao
Outcomes of 1.8-3.0 mm incision phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma with cataract
International Journal of Ophthalmology
coaxial microincision
glaucoma
cataract
phacoemulsification
trabeculectomy
author_facet Qing Wang
Zheng-Xuan Jiang
Rong-Feng Liao
author_sort Qing Wang
title Outcomes of 1.8-3.0 mm incision phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma with cataract
title_short Outcomes of 1.8-3.0 mm incision phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma with cataract
title_full Outcomes of 1.8-3.0 mm incision phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma with cataract
title_fullStr Outcomes of 1.8-3.0 mm incision phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma with cataract
title_full_unstemmed Outcomes of 1.8-3.0 mm incision phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma with cataract
title_sort outcomes of 1.8-3.0 mm incision phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma with cataract
publisher Press of International Journal of Ophthalmology (IJO PRESS)
series International Journal of Ophthalmology
issn 2222-3959
2227-4898
publishDate 2020-02-01
description "AIM: To compare efficacy of coaxial microincisions (1.8 mm, 2.2 mm) and small incisions (3.0 mm) on phacoemulsification combined with trabeculectomy for primary angle-closure glaucoma (PACG) with cataract. METHODS: Ninety-six patients (96 eyes) with PACG and cataract were recruited and randomly divided into three groups between January 2015 and June 2017. Group A (3.0 mm incision), B (2.2 mm incision), and C (1.8 mm incision) comprised 30, 34 and 32 eyes respectively. All cases were treated with clear corneal incision phacoemulsification combined with trabeculectomy. Data including best corrected visual acuity (BCVA), corneal astigmatism, corneal endothelial cell counts (CECC), intraocular pressure (IOP), and complications were collected before the operation, and at postoperative 1d, 1 and 3mo. RESULTS: All the patients were successfully treated with surgery. The BCVA of groups B and C were significantly improved as compared to group A at postoperative 1d, 1 and 3mo (all P<0.05), but there was no difference between groups B and C at each time interval (all P>0.05). The corneal astigmatism of group A was statistically higher than that of group B (P=0.026); corneal astigmatism of group B was statistically higher than that of group C at postoperative 1d (P=0.006). The corneal astigmatism of group A at postoperative 3mo was significantly higher than that before operation (P=0.003). At postoperative 1 and 3mo, corneal astigmatism of groups B and C were significantly lower than that of group A (all P<0.05). The CECC in group B was significantly higher than that of group A (P=0.020), and CECC in group C was significantly higher than that of group B (P=0.034) at postoperative 1d. At postoperative 1 and 3mo, CECC of groups B and C were significantly higher than that of group A (all P<0.05). In each group, postoperative mean IOP at each time interval was significantly lower than preoperative IOP (all P<0.05). CONCLUSION: Coaxial microincision phacoemulsification combined with trabeculectomy for PACG with cataract has better curative efficacy in reducing postoperative corneal astigmatism and corneal endothelial cell injury than traditional small incision combined surgery, and the 1.8 mm microincision has better curative efficacy than 2.2 mm microincision in the early postoperative period."
topic coaxial microincision
glaucoma
cataract
phacoemulsification
trabeculectomy
url http://www.ijo.cn/en_publish/2020/2/20200207.pdf
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