Guoji Yanke Zazhi (Aug 2013)

Clinical analysis of the treatment effect for cataract and angle-closure glaucoma with different joint operations

  • Yuan-Mei Leng

DOI
https://doi.org/10.3980/j.issn.1672-5123.2013.08.11
Journal volume & issue
Vol. 13, no. 8
pp. 1555 – 1557

Abstract

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AIM: To compare the clinical effect of phacoemulsification cataract extraction and intraocular lens implantation combined with trabeculectomy, and goniosynechialysis in the treatment of cataract and angle-closure glaucoma. The results provided a reliable method for the treatment of cataract patients with angle-closure glaucoma. METHODS: Seventy-eight patients(106 eyes)with cataract and angle-closure glaucoma were randomly divided into two groups. Group A contained 40 patients(56 eyes)which were treated by using phacoemulsification cataract extraction and intraocular lens implantation combined with trabeculectomy. Group B included 38 patients(50 eyes)which were treated with phacoemulsification cataract extraction and intraocular lens implantation combined with goniosynechialysis. The clinical effect was compared between the two groups. The following clinical parameters were tested before and after treatment: visual acuity, intraocular pressure, anterior chamber depth, and incidence of complications. RESULTS: The operations of the two groups were all smooth. There was significant difference between before and after treatment concerning visual acuity, intraocular pressure, anterior chamber depth, angle changes(PCONCLUSION: Phacoemulsification cataract extraction and intraocular lens implantation combined with goniosynechialysis in the treatment of cataract patients with angle-closure glaucoma can significantly improve visual acuity, effectively control intraocular pressure, and reduce early complications of operation. The method of operation is simple, and can be widely used.

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