Effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with angle-closure glaucoma and cataract

AIM: To explore the effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with primary angle-closure glaucoma(PACG)and cataract.<p>METHODS: Totally 94 patients(94 eyes)with PACG and cataract who were admitted to Bazhong Central Hospital f...

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Main Authors: Jia-Yu Zhang, Na Peng, Lei Li
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2019-05-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2019/5/201905009.pdf
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spelling doaj-4d367f171b2b4141bf099ca9c57624a52020-11-25T00:33:32ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232019-05-0119574975210.3980/j.issn.1672-5123.2019.5.09Effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with angle-closure glaucoma and cataractJia-Yu Zhang0Na Peng1Lei Li2Department of Ophthalmology, Tongjiang New District Hospital, Bazhong 636000, Sichuan Province, ChinaDepartment of Pediatrics, Dazhou Central Hospital, Dazhou 635000, Sichuan Province, ChinaDepartment of Ophthalmology, Bazhong Central Hospital, Bazhong 636000, Sichuan Province, ChinaAIM: To explore the effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with primary angle-closure glaucoma(PACG)and cataract.<p>METHODS: Totally 94 patients(94 eyes)with PACG and cataract who were admitted to Bazhong Central Hospital from January 2015 to June 2017 were divided into phacoemulsification and goniosynechialysis group(Observation group)and phacoemulsification with trabeculectomy group(Control group)by random number table method, 47 cases in each group. The indexes of curative effect were compared between the two groups.<p>RESULTS:The peak systolic velocity(PSV)and end diastolic velocity(EDV)of Observation group were larger than those of Control group at 1mo and 3mo after surgery. The resistance index(RI)of Observation group was significantly less than that of Control group at 3mo after surgery, while anterior chamber depth and open degree of angle were larger than those of group B(<i>P</i><0.05).<p>CONCLUSION:Both goniosynechialysis or trabeculectomy combined with phacoemulsification can effectively reduce intraocular pressure, and promote visual recovery. But goniosynechialysis can better promote opening of angle, and improve hemodynamics.http://ies.ijo.cn/cn_publish/2019/5/201905009.pdfangle-closure glaucomacataractphacoemulsificationgoniosynechialysistrabeculectomyhemodynamics
collection DOAJ
language English
format Article
sources DOAJ
author Jia-Yu Zhang
Na Peng
Lei Li
spellingShingle Jia-Yu Zhang
Na Peng
Lei Li
Effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with angle-closure glaucoma and cataract
Guoji Yanke Zazhi
angle-closure glaucoma
cataract
phacoemulsification
goniosynechialysis
trabeculectomy
hemodynamics
author_facet Jia-Yu Zhang
Na Peng
Lei Li
author_sort Jia-Yu Zhang
title Effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with angle-closure glaucoma and cataract
title_short Effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with angle-closure glaucoma and cataract
title_full Effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with angle-closure glaucoma and cataract
title_fullStr Effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with angle-closure glaucoma and cataract
title_full_unstemmed Effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with angle-closure glaucoma and cataract
title_sort effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with angle-closure glaucoma and cataract
publisher Press of International Journal of Ophthalmology (IJO PRESS)
series Guoji Yanke Zazhi
issn 1672-5123
1672-5123
publishDate 2019-05-01
description AIM: To explore the effect of phacoemulsification combined with goniosynechialysis or trabeculectomy on haemodynamics in patients with primary angle-closure glaucoma(PACG)and cataract.<p>METHODS: Totally 94 patients(94 eyes)with PACG and cataract who were admitted to Bazhong Central Hospital from January 2015 to June 2017 were divided into phacoemulsification and goniosynechialysis group(Observation group)and phacoemulsification with trabeculectomy group(Control group)by random number table method, 47 cases in each group. The indexes of curative effect were compared between the two groups.<p>RESULTS:The peak systolic velocity(PSV)and end diastolic velocity(EDV)of Observation group were larger than those of Control group at 1mo and 3mo after surgery. The resistance index(RI)of Observation group was significantly less than that of Control group at 3mo after surgery, while anterior chamber depth and open degree of angle were larger than those of group B(<i>P</i><0.05).<p>CONCLUSION:Both goniosynechialysis or trabeculectomy combined with phacoemulsification can effectively reduce intraocular pressure, and promote visual recovery. But goniosynechialysis can better promote opening of angle, and improve hemodynamics.
topic angle-closure glaucoma
cataract
phacoemulsification
goniosynechialysis
trabeculectomy
hemodynamics
url http://ies.ijo.cn/cn_publish/2019/5/201905009.pdf
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