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Abstract #26042 Published in IGR 12-2

Comparative study of different surgical treatments for angle-closure glaucoma with short axial length

Zhou X-F; Fu X-A; Mei Z-M; Zhao F
International Journal of Ophthalmology 2010; 10: 472-474


AIM: To compare effect of simple trabeculectomy and trabeculectomy combined with cataract phacoemulsification and intraocular lens implantation (hereinafter referred to as triple surgery) in the treatment of angle-closure glaucoma with short axial length. METHODS: Thirty-nine eyes from 31 patients who suffered from angle-closure glaucoma with short axial length from July 2005 to January 2009 were retrospectively analyzed, in which 25 eyes had undergone simple trabeculectomy ,14 triple surgeon. The patients were followed up for 1-25 months with an average of (9.51 (plus or minus):6.11) months. RESULTS:Postoperative intraocular pressure(IOP): the average IOP after triple surgery was(11.31 (plus or minus):0.69) mmHg, before and after surgery there was a statistically significant difference (P <: 0.01), the average IOP after trabeculectomy was(18. 47 (plus or minus):3.54) mmHg, before and after surgery the difference was statistically significant ( P <: 0. 05): Best-corrected visual acuity ( BCVA): all BCVA were increased after triple surgery, of which 78% 5s0.3, BCVA of 5 eyes dropped instead of rising after trabeculectomy, of which 32% 2s0.3,the two methods had a significant difference: ultrasound biomicroscope( UBM): before and after triple surgery there was a statistically significant difference in trabecubr iris angle (TIA), but no difference before and after simple trabeculectomy: anterior chamber depth (ACD): the average ACD after triple surgery was(3.22 (plus or minus): 0. 53) mm, before and after surgery there was a statistically significant difference ( P <: 0. 01), the average ACD after trabeculectomy was (2.21 (plus or minus):0.41) mm, before and after surgery the difference was not statistically significant: Postoperative complications: triple surgery had fewer postoperative complications, which needed no surgical correction, trabeculectomy had more postoperative complications, some of which were serious and lasting, and needed reoperation. CONCLUSION: Compared with simple trabeculectomy, trabeculectomy combined with cataract phacoemulsification and intraocular lens implantation for angle-closure glaucoma with short axial length has a higher success rate, and better efficacy and fewer complications. LA: Chinese

X.-A. Fu. Department of Ophthalmology, Central Hospital of Wuhan, Wuhan 430014, Hubei Province, China. fxayanke@sina.com


Classification:

9.3.1 Acute primary angle closure glaucoma (pupillary block) (Part of: 9 Clinical forms of glaucomas > 9.3 Primary angle closure glaucomas)
12.8.1 Without tube implant (Part of: 12 Surgical treatment > 12.8 Filtering surgery)
12.14.3 Phacoemulsification (Part of: 12 Surgical treatment > 12.14 Combined cataract extraction and glaucoma surgery)



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