Therapeutic effect of two surgical methods for refractory glaucoma
AIM: To observe the clinical efficacy and safety in the treatment for refractory glaucoma by two kinds of cyclodestructive procedures.<p>METHODS: A retrospective study of 50 patients(50 eyes)with refractory glaucoma diagnosed in our hospital between January 2018 and October 2018. Ultrasound cy...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2019-09-01
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| Series: | Guoji Yanke Zazhi |
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| Online Access: | http://ies.ijo.cn/cn_publish/2019/9/201909023.pdf |
| _version_ | 1819047061097545728 |
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| author | Li-Juan Geng He-Ting Liu Yu-Xin Xu Li-Ming Tao |
| author_facet | Li-Juan Geng He-Ting Liu Yu-Xin Xu Li-Ming Tao |
| author_sort | Li-Juan Geng |
| collection | DOAJ |
| description | AIM: To observe the clinical efficacy and safety in the treatment for refractory glaucoma by two kinds of cyclodestructive procedures.<p>METHODS: A retrospective study of 50 patients(50 eyes)with refractory glaucoma diagnosed in our hospital between January 2018 and October 2018. Ultrasound cyclo plasty(UCP)were performed on 30 eyes and cyclocryotherapy were performed on 20 eyes, introcular pressure(IOP), pain grade scores and complications after operation were followed up.<p>RESULTS: The average IOP of the UCP group on 1d, 1wk, 1mo and 3mo were 29.27±10.40, 23.87±8.61, 25.27±9.95, 23.70±10.06mmHg compared with 43.97±10.39mmHg before operation. The average IOP of the cyclocryotherapy group on 1d, 1wk, 1mo and 3mo were 22.15±7.78, 20.80±8.44, 22.50±7.12, 24.20±8.43mmHg compared with 47.30±8.53mmHg before operation. The IOP in both group was significantly reduced(<i>P<</i>0.01). The pain grade scores of patients in the UCP group at 1d, 1wk, 1mo and 3mo after surgery were significantly lower than those before operation(<i>P</i><0.05), but there was no significant difference in the cyclocryotherapy group at 1d after surgery(<i>P></i>0.05). There were no serious complications in the UCP group, four eyes appeared conjunctival hyperemia and one eye appeared superficial punctuate keratitis; but there were 16 eyes(80.00%)in the cyclocryotherapy group: ten eyes appeared conjunctival hyperemia and six eyes appeared anterior chamber hemorrhage. <p>CONCLUSION: UCP is safe and convenient surgery for refractory glaucoma, and has significant effect on reducing intraocular pressure, alleviating ocular pain and decreasing complications. |
| first_indexed | 2024-12-21T10:54:22Z |
| format | Article |
| id | doaj.art-3d4f72613b224d8f9401df5deba479bf |
| institution | Directory Open Access Journal |
| issn | 1672-5123 1672-5123 |
| language | English |
| last_indexed | 2024-12-21T10:54:22Z |
| publishDate | 2019-09-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | Guoji Yanke Zazhi |
| spelling | doaj.art-3d4f72613b224d8f9401df5deba479bf2022-12-21T19:06:34ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232019-09-011991546154910.3980/j.issn.1672-5123.2019.9.23Therapeutic effect of two surgical methods for refractory glaucomaLi-Juan Geng0He-Ting Liu1Yu-Xin Xu2Li-Ming Tao3Department of Ophthalmology, the Second Hospital of Anhui Medical Unversity, Hefei 230601, Anhui Province, ChinaDepartment of Ophthalmology, the Second Hospital of Anhui Medical Unversity, Hefei 230601, Anhui Province, ChinaDepartment of Ophthalmology, the Second Hospital of Anhui Medical Unversity, Hefei 230601, Anhui Province, ChinaDepartment of Ophthalmology, the Second Hospital of Anhui Medical Unversity, Hefei 230601, Anhui Province, ChinaAIM: To observe the clinical efficacy and safety in the treatment for refractory glaucoma by two kinds of cyclodestructive procedures.<p>METHODS: A retrospective study of 50 patients(50 eyes)with refractory glaucoma diagnosed in our hospital between January 2018 and October 2018. Ultrasound cyclo plasty(UCP)were performed on 30 eyes and cyclocryotherapy were performed on 20 eyes, introcular pressure(IOP), pain grade scores and complications after operation were followed up.<p>RESULTS: The average IOP of the UCP group on 1d, 1wk, 1mo and 3mo were 29.27±10.40, 23.87±8.61, 25.27±9.95, 23.70±10.06mmHg compared with 43.97±10.39mmHg before operation. The average IOP of the cyclocryotherapy group on 1d, 1wk, 1mo and 3mo were 22.15±7.78, 20.80±8.44, 22.50±7.12, 24.20±8.43mmHg compared with 47.30±8.53mmHg before operation. The IOP in both group was significantly reduced(<i>P<</i>0.01). The pain grade scores of patients in the UCP group at 1d, 1wk, 1mo and 3mo after surgery were significantly lower than those before operation(<i>P</i><0.05), but there was no significant difference in the cyclocryotherapy group at 1d after surgery(<i>P></i>0.05). There were no serious complications in the UCP group, four eyes appeared conjunctival hyperemia and one eye appeared superficial punctuate keratitis; but there were 16 eyes(80.00%)in the cyclocryotherapy group: ten eyes appeared conjunctival hyperemia and six eyes appeared anterior chamber hemorrhage. <p>CONCLUSION: UCP is safe and convenient surgery for refractory glaucoma, and has significant effect on reducing intraocular pressure, alleviating ocular pain and decreasing complications.http://ies.ijo.cn/cn_publish/2019/9/201909023.pdfglaucomaciliary bodyintraocular pressureultrasound ciliary plastycyclocryotherapy |
| spellingShingle | Li-Juan Geng He-Ting Liu Yu-Xin Xu Li-Ming Tao Therapeutic effect of two surgical methods for refractory glaucoma Guoji Yanke Zazhi glaucoma ciliary body intraocular pressure ultrasound ciliary plasty cyclocryotherapy |
| title | Therapeutic effect of two surgical methods for refractory glaucoma |
| title_full | Therapeutic effect of two surgical methods for refractory glaucoma |
| title_fullStr | Therapeutic effect of two surgical methods for refractory glaucoma |
| title_full_unstemmed | Therapeutic effect of two surgical methods for refractory glaucoma |
| title_short | Therapeutic effect of two surgical methods for refractory glaucoma |
| title_sort | therapeutic effect of two surgical methods for refractory glaucoma |
| topic | glaucoma ciliary body intraocular pressure ultrasound ciliary plasty cyclocryotherapy |
| url | http://ies.ijo.cn/cn_publish/2019/9/201909023.pdf |
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