Effects of double-incision phacoemulsification combined with trabeculectomy on glaucoma with cataract
Journal Title: Guoji Yanke Zazhi - Year 2018, Vol 18, Issue 11
Abstract
AIM: To explore the effects of double-incision phacoemulsification combined with trabeculectomy on visual acuity, intraocular pressure and complications in patients with glaucoma complicated with cataract. <p>METHODS: The clinical data of each 68 patients(68 eyes)with glaucoma and cataract who were given double-incision(observation group)and single-incision(control group)phacoemulsification combined with trabeculectomy from April 2016 to October 2017 were retrospectively analyzed. The visual acuity and corneal endothelial cell status(density, area)before operation and at 1mo after operation, and occurrence of complications(hyphema, corneal endothelial edema, anterior chamber fibrinous exudation, filtering bleb scarring)within 1mo after operation were recorded in the two groups. And the differences of intraocular pressure and astigmatism degree were compared between the two groups before operation and at 1 and 6mo after operation. <p>RESULTS:At 1mo after operation, the visual acuity in the two groups was better than that before operation(<i>P</i><0.05). However, there was no significant difference between the two groups(<i>P</i>>0.05). At 1mo after operation, the area of corneal endothelial cell in the two groups was larger than that before operation(<i>P</i><0.05)while the density of corneal endothelial cell was lower than that before operation(<i>P</i><0.05), and the changes in control group were greater than those in observation group(<i>P</i><0.05). The total incidence rate of postoperative complications in observation group was significantly lower than that in control group(<i>P</i><0.05). The intraocular pressure in the two groups after operation was lower than that before operation(<i>P</i><0.05), but there was no significant difference between at 1mo after operation and at 6mo after operation(<i>P</i>>0.05). And there was no statistically significant difference between the two groups(<i>P</i>>0.05). The postoperative astigmatism degree in the two groups was higher than that before operation(<i>P</i><0.05), and the index at 1mo after operation was higher than that at 6mo after operation(<i>P</i><0.05), and the index in control group was higher than that in observation group(<i>P</i><0.05). <p>CONCLUSION:Double-incision phacoemulsification combined with trabeculectomy has significant effects on patients with glaucoma and cataract. Although double-incision surgery and single-incision surgery have similar effects in improving visual acuity and intraocular pressure, double-incision surgery has less damage to the operative area, and it can reduce the postoperative corneal endothelial injury and the postoperative astigmatism degree, and it can also reduce the postoperative complications, and has a positive significance in promoting the disease outcomes.
Authors and Affiliations
Ling-Jun Wei
Keywords
Related Articles
- EP ID EP519534
- DOI 10.3980/j.issn.1672-5123.2018.11.17
- Views 104
- Downloads 0
Corneal aberrations in normal and keratoconic eyes using an OPD-Scan Ⅱ
AIM: To evaluate higher order aberrations(HOAs)of the corneal surface in normal and keratoconic eyes.<p>METHODS: Using an OPD-Scan Ⅱ wavefront analyzer, aberrometric parameters of the corneal surface in one eye of 80 pat...
EX-PRESS glaucoma filtration device combined with phacoemulsification for refractory glaucoma complicated with cataract
AIM:To evaluate the efficacy of EX-PRESS glaucoma filtration device combined with phacoemulsification and intraocular lens implantation for refractory glaucoma complicated with cataract.<p>METHODS: Totally 60 patients(60...
Research progress on pathobiology of myofibroblast in wound healing after glaucoma filtering surgery
Glaucoma filtering surgery is the main treatment for the glaucomatous patients. Typically, surgery failed mary due to wound fibrosis and contracture at the post-surgical site.Myofibroblasts transdifferentiated from other...
Effect of built-in type OASIS iris expander in phacoemulsification surgery for cataract with small pupil
AIM: To observe the effect of built-in type OASIS iris expander in phacoemulsification surgery for cataract with small pupil. <p>METHODS: Totally 44 cataract patients with small pupil were treated in our hospital from Ja...
Effect of bandage contact lens on the corneal epithelium healing, degree of pain and corneal surface after recurrent pterygium excision
AIM: To assess the effect of bandage contact lens on the corneal epithelium healing condition, degree of pain and corneal surface after recurrent pterygium excision. <p>METHODS: Retrospective case-series study. A total o...