Efficacy of phacoemulsification with goniosynechialysis on acute angle-closure glaucoma and cataract complicated with extensive synechial angle closure

AIM: To assess the clinical efficacy of phacoemulsification, intraocular lens implantation with goniosynechialysis(PEI+GSL)for acute angle closure glaucoma(AACG)and cataract with extensive angle closure synechiae.<p>METHODS: A retrospective study, we studied 35 eyes of 32 patients with AACG an...

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Main Authors: Yan-Chen Wang, Bao-Jun Wang, Hua Yang, Xin-Min Li, Zhi-Qiang Dai
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2020-09-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2020/9/202009029.pdf
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spelling doaj-e84cc0a9db184c369d179c50a9a10d692020-11-25T03:46:26ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232020-09-012091612161610.3980/j.issn.1672-5123.2020.9.29Efficacy of phacoemulsification with goniosynechialysis on acute angle-closure glaucoma and cataract complicated with extensive synechial angle closureYan-Chen Wang0Bao-Jun Wang1Hua Yang2Xin-Min Li3Zhi-Qiang Dai4Department of Ophthalmology, the First Affiliated Hospital of Xinxiang Medical College, Weihui 453100, Henan Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Xinxiang Medical College, Weihui 453100, Henan Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Xinxiang Medical College, Weihui 453100, Henan Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Xinxiang Medical College, Weihui 453100, Henan Province, ChinaDepartment of Ophthalmology, the First Affiliated Hospital of Xinxiang Medical College, Weihui 453100, Henan Province, ChinaAIM: To assess the clinical efficacy of phacoemulsification, intraocular lens implantation with goniosynechialysis(PEI+GSL)for acute angle closure glaucoma(AACG)and cataract with extensive angle closure synechiae.<p>METHODS: A retrospective study, we studied 35 eyes of 32 patients with AACG and cataract in our hospital. The extent of anterior chamber angle-closure synechiae was defined as an eye with >180°. All patients underwent PEI+GSL and completed an ophthalmologic examination including vision, intraocular pressure(IOP), anterior chamber depth(ACD), angle-opening distance(AOD<sub>500</sub>), trabecular-iris space area(TISA<sub>500</sub>)were observed at 1d, 1wk, 1mo and 3mo after cataract surgery. The angle closure range and retinal nerve fiber layer(RNFL)thickness changes at postoperative 1mo and 3mo were observed, and recorded complications.<p>RESULTS: Postoperative 3mo BCVA(0.334±0.154)and IOP(14.63±3.59mmHg)were improved compared with preoperative(0.914±0.290, 42.54±8.06mmHg)(<i>P</i><0.05). ACD(3.203±0.214mm), OCT angle parameters AOD<sub>500</sub> and TISA<sub>500</sub>(0.308±0.014, 0.315±0.015mm, 0.134±0.013, 0.139±0.018mm<sup>2</sup>)were significantly increased compared with preoperation. The extent of angle closure with gonioscopy(72.32±28.33°)decreased compared preoperation(215.29°±30.66°), and RNFL thickness thinner than preoperation(<i>P</i><0.001). Changes in AOD<sub>500</sub> and TISA<sub>500 </sub> for both nasal and temporal were negatively correlated with IOP, but not with changes in ACD, and no significant complications occurred in the 3mo after surgery.<p>CONCLUSION: The treatment of PEI+GSL can improve vision, deeper ACD and effectively open ACA in the early stage, thus controlling IOP.http://ies.ijo.cn/cn_publish/2020/9/202009029.pdfacute angle-closure glaucomacataractphacoemulsificationgoniosynechialysisoptical coherence tomography
collection DOAJ
language English
format Article
sources DOAJ
author Yan-Chen Wang
Bao-Jun Wang
Hua Yang
Xin-Min Li
Zhi-Qiang Dai
spellingShingle Yan-Chen Wang
Bao-Jun Wang
Hua Yang
Xin-Min Li
Zhi-Qiang Dai
Efficacy of phacoemulsification with goniosynechialysis on acute angle-closure glaucoma and cataract complicated with extensive synechial angle closure
Guoji Yanke Zazhi
acute angle-closure glaucoma
cataract
phacoemulsification
goniosynechialysis
optical coherence tomography
author_facet Yan-Chen Wang
Bao-Jun Wang
Hua Yang
Xin-Min Li
Zhi-Qiang Dai
author_sort Yan-Chen Wang
title Efficacy of phacoemulsification with goniosynechialysis on acute angle-closure glaucoma and cataract complicated with extensive synechial angle closure
title_short Efficacy of phacoemulsification with goniosynechialysis on acute angle-closure glaucoma and cataract complicated with extensive synechial angle closure
title_full Efficacy of phacoemulsification with goniosynechialysis on acute angle-closure glaucoma and cataract complicated with extensive synechial angle closure
title_fullStr Efficacy of phacoemulsification with goniosynechialysis on acute angle-closure glaucoma and cataract complicated with extensive synechial angle closure
title_full_unstemmed Efficacy of phacoemulsification with goniosynechialysis on acute angle-closure glaucoma and cataract complicated with extensive synechial angle closure
title_sort efficacy of phacoemulsification with goniosynechialysis on acute angle-closure glaucoma and cataract complicated with extensive synechial angle closure
publisher Press of International Journal of Ophthalmology (IJO PRESS)
series Guoji Yanke Zazhi
issn 1672-5123
1672-5123
publishDate 2020-09-01
description AIM: To assess the clinical efficacy of phacoemulsification, intraocular lens implantation with goniosynechialysis(PEI+GSL)for acute angle closure glaucoma(AACG)and cataract with extensive angle closure synechiae.<p>METHODS: A retrospective study, we studied 35 eyes of 32 patients with AACG and cataract in our hospital. The extent of anterior chamber angle-closure synechiae was defined as an eye with >180°. All patients underwent PEI+GSL and completed an ophthalmologic examination including vision, intraocular pressure(IOP), anterior chamber depth(ACD), angle-opening distance(AOD<sub>500</sub>), trabecular-iris space area(TISA<sub>500</sub>)were observed at 1d, 1wk, 1mo and 3mo after cataract surgery. The angle closure range and retinal nerve fiber layer(RNFL)thickness changes at postoperative 1mo and 3mo were observed, and recorded complications.<p>RESULTS: Postoperative 3mo BCVA(0.334±0.154)and IOP(14.63±3.59mmHg)were improved compared with preoperative(0.914±0.290, 42.54±8.06mmHg)(<i>P</i><0.05). ACD(3.203±0.214mm), OCT angle parameters AOD<sub>500</sub> and TISA<sub>500</sub>(0.308±0.014, 0.315±0.015mm, 0.134±0.013, 0.139±0.018mm<sup>2</sup>)were significantly increased compared with preoperation. The extent of angle closure with gonioscopy(72.32±28.33°)decreased compared preoperation(215.29°±30.66°), and RNFL thickness thinner than preoperation(<i>P</i><0.001). Changes in AOD<sub>500</sub> and TISA<sub>500 </sub> for both nasal and temporal were negatively correlated with IOP, but not with changes in ACD, and no significant complications occurred in the 3mo after surgery.<p>CONCLUSION: The treatment of PEI+GSL can improve vision, deeper ACD and effectively open ACA in the early stage, thus controlling IOP.
topic acute angle-closure glaucoma
cataract
phacoemulsification
goniosynechialysis
optical coherence tomography
url http://ies.ijo.cn/cn_publish/2020/9/202009029.pdf
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