Phacoemulsification and IOL implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute PACG

AIM: To investigate the curative effect of microincision phacoemulsification and ultra-thin artificial lens implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute primary angle-closure glaucoma(PACG). METHODS: Totally 85 elderly cataract patients(85...

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Autores principales:	Ting Chen, Lei Hou, Ling Yang
Formato:	article
Lenguaje:	EN
Publicado:	Press of International Journal of Ophthalmology (IJO PRESS) 2021
Materias:	age-related cataract angle-closure glaucoma microincision phacoemulsification ultra-thin artificial lens implantation trabeculectomy Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/63a57e486c814ed1a209f60b332354af
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spelling	oai:doaj.org-article:63a57e486c814ed1a209f60b332354af2021-11-22T14:22:33ZPhacoemulsification and IOL implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute PACG1672-512310.3980/j.issn.1672-5123.2021.12.23https://doaj.org/article/63a57e486c814ed1a209f60b332354af2021-12-01T00:00:00Zhttp://ies.ijo.cn/cn_publish/2021/12/202112023.pdfhttps://doaj.org/toc/1672-5123AIM: To investigate the curative effect of microincision phacoemulsification and ultra-thin artificial lens implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute primary angle-closure glaucoma(PACG). METHODS: Totally 85 elderly cataract patients(85 eyes)with acute PACG admitted between January 2017 and July 2020 were enrolled. According to the operation method, they were divided into study group(46 cases, 46 eyes)and control group(39 cases, 39 eyes). The control group was treated with 1.8mm microincision phacoemulsification and ultra-thin artificial lens implantation, while the study group was treated with trabeculectomy on the basis of the treatment of control group. The best corrected visual acuity(BCVA), intraocular pressure, anterior chamber angle width classification, corneal endothelial cell count and surgical complications of the two groups were compared. RESULTS: Compared with the same group before operation, the BCVA(LogMAR)of the two groups was significantly reduced at 1, 3 and 6mo after operation(all P<0.05), and the study group had lower LogMAR BCVA than the control group(all P<0.05). At 1, 3 and 6mo after operation, intraocular pressure of the two groups was significantly reduced(P<0.05), and the study group had lower intraocular pressure than the control group(P<0.05). Meanwhile, the proportion of anterior chamber angle width grade NⅠwas increased, and the proportion of grade N Ⅳ was reduced in the two groups(P<0.05). The proportion of grade NⅠwas higher in the study group than in the control group(P<0.05). No significant differences were found between the two groups in terms of corneal endothelial cell count(P>0.05)and the incidence of complications(28% vs 26%; P>0.05). CONCLUSION: For patients with senile cataract complicated with acute PACG, trabeculectomy based on microincision phacoemulsification and ultra-thin artificial lens implantation can significantly lower intraocular pressure, relieve glaucoma, and reduce visual impairment, with little damage to corneal endothelial cells and few complications. Besides, the clinical effect is marked.Ting ChenLei HouLing YangPress of International Journal of Ophthalmology (IJO PRESS)articleage-related cataractangle-closure glaucomamicroincision phacoemulsificationultra-thin artificial lens implantationtrabeculectomyOphthalmologyRE1-994ENGuoji Yanke Zazhi, Vol 21, Iss 12, Pp 2141-2144 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	age-related cataract angle-closure glaucoma microincision phacoemulsification ultra-thin artificial lens implantation trabeculectomy Ophthalmology RE1-994
spellingShingle	age-related cataract angle-closure glaucoma microincision phacoemulsification ultra-thin artificial lens implantation trabeculectomy Ophthalmology RE1-994 Ting Chen Lei Hou Ling Yang Phacoemulsification and IOL implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute PACG
description	AIM: To investigate the curative effect of microincision phacoemulsification and ultra-thin artificial lens implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute primary angle-closure glaucoma(PACG). METHODS: Totally 85 elderly cataract patients(85 eyes)with acute PACG admitted between January 2017 and July 2020 were enrolled. According to the operation method, they were divided into study group(46 cases, 46 eyes)and control group(39 cases, 39 eyes). The control group was treated with 1.8mm microincision phacoemulsification and ultra-thin artificial lens implantation, while the study group was treated with trabeculectomy on the basis of the treatment of control group. The best corrected visual acuity(BCVA), intraocular pressure, anterior chamber angle width classification, corneal endothelial cell count and surgical complications of the two groups were compared. RESULTS: Compared with the same group before operation, the BCVA(LogMAR)of the two groups was significantly reduced at 1, 3 and 6mo after operation(all P<0.05), and the study group had lower LogMAR BCVA than the control group(all P<0.05). At 1, 3 and 6mo after operation, intraocular pressure of the two groups was significantly reduced(P<0.05), and the study group had lower intraocular pressure than the control group(P<0.05). Meanwhile, the proportion of anterior chamber angle width grade NⅠwas increased, and the proportion of grade N Ⅳ was reduced in the two groups(P<0.05). The proportion of grade NⅠwas higher in the study group than in the control group(P<0.05). No significant differences were found between the two groups in terms of corneal endothelial cell count(P>0.05)and the incidence of complications(28% vs 26%; P>0.05). CONCLUSION: For patients with senile cataract complicated with acute PACG, trabeculectomy based on microincision phacoemulsification and ultra-thin artificial lens implantation can significantly lower intraocular pressure, relieve glaucoma, and reduce visual impairment, with little damage to corneal endothelial cells and few complications. Besides, the clinical effect is marked.
format	article
author	Ting Chen Lei Hou Ling Yang
author_facet	Ting Chen Lei Hou Ling Yang
author_sort	Ting Chen
title	Phacoemulsification and IOL implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute PACG
title_short	Phacoemulsification and IOL implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute PACG
title_full	Phacoemulsification and IOL implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute PACG
title_fullStr	Phacoemulsification and IOL implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute PACG
title_full_unstemmed	Phacoemulsification and IOL implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute PACG
title_sort	phacoemulsification and iol implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute pacg
publisher	Press of International Journal of Ophthalmology (IJO PRESS)
publishDate	2021
url	https://doaj.org/article/63a57e486c814ed1a209f60b332354af
work_keys_str_mv	AT tingchen phacoemulsificationandiolimplantationcombinedwithtrabeculectomyinthetreatmentofagerelatedcataractcomplicatedwithacutepacg AT leihou phacoemulsificationandiolimplantationcombinedwithtrabeculectomyinthetreatmentofagerelatedcataractcomplicatedwithacutepacg AT lingyang phacoemulsificationandiolimplantationcombinedwithtrabeculectomyinthetreatmentofagerelatedcataractcomplicatedwithacutepacg
_version_	1718417555730726912

Phacoemulsification and IOL implantation combined with trabeculectomy in the treatment of age-related cataract complicated with acute PACG

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