Clinical investigation on angle-closure glaucoma patients with cataract treated by phacoemulsification combined with trabeculectomy
AIM: To investigate the effectiveness of phacoemulsification with intraocular lens(IOL)implantation combined with trabeculectomy in patients with cataract and angle-closure glaucoma.<p>METHODS: In 36 cases(46 eyes)of angle-closure glaucoma with cataract, phacoemulsification with foldable IOL i...
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doaj-156a52c893b04fd7a7d0a143b86087c52020-11-24T22:43:53ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232013-11-0113112247224910.3980/j.issn.1672-5123.2013.11.24Clinical investigation on angle-closure glaucoma patients with cataract treated by phacoemulsification combined with trabeculectomyYu-Sheng WangLing HuiZi-Feng ZhangAIM: To investigate the effectiveness of phacoemulsification with intraocular lens(IOL)implantation combined with trabeculectomy in patients with cataract and angle-closure glaucoma.<p>METHODS: In 36 cases(46 eyes)of angle-closure glaucoma with cataract, phacoemulsification with foldable IOL implantation combined with trabeculectomy was performed. Data of pre- and post-operation, including visual acuity, intraocular pressure, filtering bleb, anterior chamber depth, chamber angle, and funds were all recorded and analyzed in detail.<p>RESULTS: During the follow-up of 3 months to 2 years,visual acuity of 43 eyes(93.5%)got improved, and intraocular pressure in 44 eyes(95.7%)were controlled in normal range(<21mmHg). Mean anterior chamber depth of 35 patients(46 eyes)got deeper from 2.1mm to 3.8mm(average 2.1±0.3mm to 3.8±0.4mm)after operation, with chamber angle opened to some extent. Six eyes(13.0%)got mild to moderate corneal edema, without corneal endothelial decompensation.<p>CONCLUSION: Phacoemulsification with IOL implantation combined with trabeculectomy is an effective and safe surgical technique for patients with angle-closure glaucoma and cataract, with satisfied control of intraocular pressure, deepening of anterior chamber, opening of anterior chamber angle, and improving visual function.http://www.ies.net.cn/cn_publish/2013/11/201311024.pdfphacoemulsificationtrabeculectomyglaucomaangle-closurecataract |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yu-Sheng Wang Ling Hui Zi-Feng Zhang |
spellingShingle |
Yu-Sheng Wang Ling Hui Zi-Feng Zhang Clinical investigation on angle-closure glaucoma patients with cataract treated by phacoemulsification combined with trabeculectomy Guoji Yanke Zazhi phacoemulsification trabeculectomy glaucoma angle-closure cataract |
author_facet |
Yu-Sheng Wang Ling Hui Zi-Feng Zhang |
author_sort |
Yu-Sheng Wang |
title |
Clinical investigation on angle-closure glaucoma patients with cataract treated by phacoemulsification combined with trabeculectomy |
title_short |
Clinical investigation on angle-closure glaucoma patients with cataract treated by phacoemulsification combined with trabeculectomy |
title_full |
Clinical investigation on angle-closure glaucoma patients with cataract treated by phacoemulsification combined with trabeculectomy |
title_fullStr |
Clinical investigation on angle-closure glaucoma patients with cataract treated by phacoemulsification combined with trabeculectomy |
title_full_unstemmed |
Clinical investigation on angle-closure glaucoma patients with cataract treated by phacoemulsification combined with trabeculectomy |
title_sort |
clinical investigation on angle-closure glaucoma patients with cataract treated by phacoemulsification combined with trabeculectomy |
publisher |
Press of International Journal of Ophthalmology (IJO PRESS) |
series |
Guoji Yanke Zazhi |
issn |
1672-5123 |
publishDate |
2013-11-01 |
description |
AIM: To investigate the effectiveness of phacoemulsification with intraocular lens(IOL)implantation combined with trabeculectomy in patients with cataract and angle-closure glaucoma.<p>METHODS: In 36 cases(46 eyes)of angle-closure glaucoma with cataract, phacoemulsification with foldable IOL implantation combined with trabeculectomy was performed. Data of pre- and post-operation, including visual acuity, intraocular pressure, filtering bleb, anterior chamber depth, chamber angle, and funds were all recorded and analyzed in detail.<p>RESULTS: During the follow-up of 3 months to 2 years,visual acuity of 43 eyes(93.5%)got improved, and intraocular pressure in 44 eyes(95.7%)were controlled in normal range(<21mmHg). Mean anterior chamber depth of 35 patients(46 eyes)got deeper from 2.1mm to 3.8mm(average 2.1±0.3mm to 3.8±0.4mm)after operation, with chamber angle opened to some extent. Six eyes(13.0%)got mild to moderate corneal edema, without corneal endothelial decompensation.<p>CONCLUSION: Phacoemulsification with IOL implantation combined with trabeculectomy is an effective and safe surgical technique for patients with angle-closure glaucoma and cataract, with satisfied control of intraocular pressure, deepening of anterior chamber, opening of anterior chamber angle, and improving visual function. |
topic |
phacoemulsification trabeculectomy glaucoma angle-closure cataract |
url |
http://www.ies.net.cn/cn_publish/2013/11/201311024.pdf |
work_keys_str_mv |
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