Clinical efficacy of double-incision operation of combining phacoemulsification and trabeculectomy to cure angle-closure glaucoma with cataract
AIM: To prove the clinical efficacy of double-incision operation of combining phacoemulsification and intraocular lens implantation and trabeculectomy with topical anesthesia.<p>METHODS: Fifty-four patients(60 eyes)with primary angle-closure glaucoma patients with cataract were randomly divide...
Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2015-08-01
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Series: | Guoji Yanke Zazhi |
Subjects: | |
Online Access: | http://ies.ijo.cn/cn_publish/2015/8/201508035.pdf |
Summary: | AIM: To prove the clinical efficacy of double-incision operation of combining phacoemulsification and intraocular lens implantation and trabeculectomy with topical anesthesia.<p>METHODS: Fifty-four patients(60 eyes)with primary angle-closure glaucoma patients with cataract were randomly divided to single-incision group and double-incision group. Both were treated by phacoemulsification and intraocular lens implantation and trabeculectomy, followed up for 3mo. Intraoeular pressure(IOP), best corrected visual acuity(BCVA), inflammation of anterior chamber were observed.<p>RESULTS: 1)IOP: Postoperative, the average IOP had no statistical significance between two groups(<i>P</i>>0.05). 2)BCVA: the level of BCVA in double-incision group was 0.31±0.27 on 1d after surgery, single-incision group was 0.19±0.22, the differences had statistical significance(<i>P</i><0.05). But on 1wk, 1, 3mo, the differences between two groups had no statistical significance(<i>P</i>>0.05). 3)Inflammation of anterior chamber after surgery: on 1d there were 9 eyes in double-incision group and 18 eyes in single-incision group, the differences had statistical significance(<i>χ</i><sup>2</sup>=5.45, <i>P</i><0.05). By anti-inflammatory treatment the differences between two groups had no statistical significance(<i>P</i>>0.05)on 1wk, 1, 3mo postoperative.<p>CONCLUSION: Double-incision operation of combining phacoemulsification and intraocular lens implantation and trabeculectomy is an effective and safe therapeutic method for patients with primary closed-angle glaucoma and cataract. |
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ISSN: | 1672-5123 1672-5123 |