Clinical observation of phacoemulsification combined goniosynechialysis in treating absolute glaucoma after trabeculectomy

• Main Authors: Jun-Yong Wang, Yi Shao, Fang-Xing Zhou, Hui Sun
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2014-10-01
• Series: Guoji Yanke Zazhi
• Subjects: phacoemulsification; goniosynechialysis; trabeculectomy; absolute glaucoma
• Online Access: http://www.ies.net.cn/cn_publish/2014/10/201410021.pdf

AIM: To observe the effect of phacoemulsification combined goniosynechialysis in treating absolute glaucoma after trabeculectomy.<p>METHODS: Phacoemulsification combined goniosynechialysis was performed on 16 patients(16 eyes)with absolute glaucoma after trabeculectomy, and they were followed up for 6～12mo, The postoperative intraocular pressure(IOP)and anterior chamber depth, preoperative and postoperative medication types(quantity), preoperative and postoperative 1 month's status of anxiety and depression, symptoms of ocular surface were observed.<p>RESULTS: The IOP decreased significantly after phacoemulsification combined goniosynechialysis. The mean IOP was 35.00±15.43mmHg preoperatively, and it was 12.00±6.69mmHg, 15.00±4.26mmHg and 15.3±5.2mmHg on 1d, 6 and 12mo after the surgery. The statistic difference was found between preoperative and postoperative(<i>t</i>=6.22, <i>P</i><0.05). The anterior chamber depth was 1.45±0.19mm before the surgery, and increased to 3.37±0.13mm after the surgery(<i>t</i>=6.65, <i>P</i><0.05). After the surgery, 2 patients needed two kinds of drugs, 2 patients needed one kind of drug. After 12mo of follow-up, anxiety and depression status were improved in all 16 patients. Subjective discomfort symptoms of 16 patients such as eye bilges, eye pain were relieved. All of the patients' eyeballs were preserved, and no serious complications.<p>CONCLUSION: Phacoemulsification combined goniosynechialysis in treating absolute glaucoma after trabeculectomy is a safe and effective surgical option.