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Abstract #94842 Published in IGR 22-2
The efficacy of ultrasonic emulsification with IOL implantation in patients with primary angle-closure glaucoma combined with cataract
Tang L; Zhang MAmerican journal of translational research 2021; 13: 7874-7881
PURPOSE: This study aimed to investigate the clinical efficacy of ultrasonic emulsification plus IOL implantation in patients with primary angle-closure glaucoma and cataract. METHODS: The clinical data of 81 patients (91 eyes) with primary angle-closure glaucoma comorbid with cataract in our hospital were retrospectively analyzed and divided into two groups based on surgical modality. Group A (n=40, 45 eyes) underwent trabeculectomy and group B (n=41, 46 eyes) underwent ultrasonic emulsification and IOL implantation. The success rate, best corrected visual acuity, intraocular pressure, anterior chamber depth, anterior chamber angle, visual field, cornea's endothelial cell count, complications, and patient satisfaction were compared between the two groups. RESULTS: The surgical success rate in group B was 97.83%, significantly higher than 86.67% in group A ( < 0.05); Compared with group A, group B had higher best-corrected visual acuity and lower intraocular pressure ( < 0.05) as well as higher central and peripheral anterior chamber depths at 3 months postoperatively ( < 0.05); After surgery, group A had significantly lower postoperative cornea's endothelial cell count ( < 0.05). Compared with group A, MS was higher and MD was lower in group B at 3 months postoperatively ( < 0.05); the complication rate in group B was 8.70%, lower than 28.89% in group A ( < 0.05). CONCLUSION: The clinical efficacy of ultrasonic emulsification combined with IOL implantation is remarkable in patients with primary angle-closure glaucoma and cataract, which is conducive to improving postoperative visual acuity, lowering intraocular pressure, increasing the atrial angle, and improving visual field defects. It is also with high safety, but has little effect on cornea's endothelial cell count.
Department of Ophthalmology, The First People's Hospital of Fuyang District Hangzhou 311400, Zhejiang, China.
Classification:
9.3.2 Chronic primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
9.4.4.2 Glaucomas associated with cataracts (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.4 Glaucomas associated with disorders of the lens)
12.12.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.12 Cataract extraction)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
