Comparison of single incision and double incision triple surgery for angle closure glaucoma with cataract / 国际眼科杂志(Guoji Yanke Zazhi)

ABSTRACT

AIM:To study and analyze the clinical effect of single incision and double incision phacoemulsification,foldable intraocular lens implantation combined with trabeculectomy triple surgery in the treatment of glaucoma with cataract.METHODS:The study was from January 2016 to February 2017 in our hospital including 68 patients (79 eyes) with glaucoma and cataract.All patients were divided into two groups (observation group and control group);the control group only take single incision surgery;the observation group was taken two incision triple operation method for treatment.The follicular formation,intraocular pressure (lOP) changes,visual acuity changes,anterior chamber depth and anterior chamber open degree were compared between the two groups.RESULTS:At 1mo after the surgery,functional follicular formation rate was 98％ in observation group,higher than the control group (71％) with significant difference (P＜0.05).The control group and the observation group the mean preoperative lOP,best corrected visual acuity,uncorrected visual acuity had no significant difference (P＞ 0.05).In observation group,postoperative mean lOP,best corrected visual acuity,uncorrected visual acuity was 12.45+3.01mmHg,0.17±0.03,0.19±0.02,significantly different compared control group (P＜ 0.05).Anterior chamber depth and anterior chamber open degree increased in the two groups at 1mo after operation.The changes of observation group were more than control groups (P＜0.05).In control group,there were 5 eyes with corneal edema,4 eyes with transient shallow anterior chamber,3 eyes with transient high lOP,3 eyes with inflammatory exudation.In observation group,there were 4 eyes with corneal edema,3 eyes with transient shallow anterior chamber,3 eyes with transient high lOP,2 eyes with inflammatory exudation.After one-week treatment,those side reaction recovered,without hyphema,pupillary capture or other severe complications.CONCLUSION:The two incision triple surgery in the treatment of glaucoma with cataract patients get better results,effectively reduce intraocular pressure,improve the patients' best corrected visual acuity and uncorrected visual acuity,more formation rate of function follicular,increase the anterior chamber depth,it is safe and reliable.