Phaco-EX-PRESS for refractory open-angle glaucoma with cataract

AIM: To observe the effect of phaco-EX-PRESS for refractory open-angle glaucoma with cataract.<p>METHODS: Totally 66 patients(67 eyes)with refractory open-angle glaucoma and cataract were selected.There were 34 eyes in the phaco-EX-PRESS and 33 eyes in the phacotrabeculectomy. Preoperative bes...

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Main Authors: You Wang, Jian Zhang, Xiao-Li Wang, Li-Na Bai, Fang-Rong Cai
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2019-08-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2019/8/201908018.pdf
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author You Wang
Jian Zhang
Xiao-Li Wang
Li-Na Bai
Fang-Rong Cai
author_facet You Wang
Jian Zhang
Xiao-Li Wang
Li-Na Bai
Fang-Rong Cai
author_sort You Wang
collection DOAJ
description AIM: To observe the effect of phaco-EX-PRESS for refractory open-angle glaucoma with cataract.<p>METHODS: Totally 66 patients(67 eyes)with refractory open-angle glaucoma and cataract were selected.There were 34 eyes in the phaco-EX-PRESS and 33 eyes in the phacotrabeculectomy. Preoperative best corrected visual acuity(BCVA)and intraocular pressure(IOP), intraoperative complications, operation time, postoperative BCVA and IOP, postoperative complications were observed. The follow-up time were 1d, 1wk, 1mo, 6mo and 1a.<p>RESULTS: The operation time in experimental group was 23.26±2.00min, while the control group was 31.73±2.17min. The difference between the two groups was statistically significant(<i>t</i>=16.68, <i>P</i><0.01). In the experimental group, superficial anterior chamber and filtering bubble scar occurred in 1 eye each. In the control group, low IOP occurred in 3 eyes, anterior chamber hemorrhage and choroid detachment in 1 eye and filtering bubble scar in 5 eyes.There was no statistically significant difference in follicular Kronfeld classification(<i>Z</i>=-0.775, <i>P</i>=0.438). Intervention factors and time in both groups had an effect on postoperative IOP. Intervention factors had no effect on postoperative visual acuity, and the difference in postoperative visual acuity between the two groups was statistically significant.<p>CONCLUSION: Phaco-EX-PRESS for the refractory open-angle glaucoma combined with cataract is safe and effective, and the operation time is shorter, so it can be used as a conventional combination surgery.
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spelling doaj.art-6b608b32412f4ff18ead2bf37bc331af2022-12-22T00:41:07ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232019-08-011981344134710.3980/j.issn.1672-5123.2019.8.18Phaco-EX-PRESS for refractory open-angle glaucoma with cataractYou Wang0Jian Zhang1Xiao-Li Wang2Li-Na Bai3Fang-Rong Cai4Department of Ophthalmology, Jianyang People's Hospital, Chengdu 641400, Sichuan Province, ChinaDepartment of Ophthalmology, Jianyang People's Hospital, Chengdu 641400, Sichuan Province, ChinaDepartment of Ophthalmology, Jianyang People's Hospital, Chengdu 641400, Sichuan Province, ChinaDepartment of Ophthalmology, Jianyang People's Hospital, Chengdu 641400, Sichuan Province, ChinaDepartment of Ophthalmology, Jianyang People's Hospital, Chengdu 641400, Sichuan Province, ChinaAIM: To observe the effect of phaco-EX-PRESS for refractory open-angle glaucoma with cataract.<p>METHODS: Totally 66 patients(67 eyes)with refractory open-angle glaucoma and cataract were selected.There were 34 eyes in the phaco-EX-PRESS and 33 eyes in the phacotrabeculectomy. Preoperative best corrected visual acuity(BCVA)and intraocular pressure(IOP), intraoperative complications, operation time, postoperative BCVA and IOP, postoperative complications were observed. The follow-up time were 1d, 1wk, 1mo, 6mo and 1a.<p>RESULTS: The operation time in experimental group was 23.26±2.00min, while the control group was 31.73±2.17min. The difference between the two groups was statistically significant(<i>t</i>=16.68, <i>P</i><0.01). In the experimental group, superficial anterior chamber and filtering bubble scar occurred in 1 eye each. In the control group, low IOP occurred in 3 eyes, anterior chamber hemorrhage and choroid detachment in 1 eye and filtering bubble scar in 5 eyes.There was no statistically significant difference in follicular Kronfeld classification(<i>Z</i>=-0.775, <i>P</i>=0.438). Intervention factors and time in both groups had an effect on postoperative IOP. Intervention factors had no effect on postoperative visual acuity, and the difference in postoperative visual acuity between the two groups was statistically significant.<p>CONCLUSION: Phaco-EX-PRESS for the refractory open-angle glaucoma combined with cataract is safe and effective, and the operation time is shorter, so it can be used as a conventional combination surgery.http://ies.ijo.cn/cn_publish/2019/8/201908018.pdfphacoemulsificationphaco-EX-PRESSrefractory open-angle glaucomacataractintraocular pressurecomplications
spellingShingle You Wang
Jian Zhang
Xiao-Li Wang
Li-Na Bai
Fang-Rong Cai
Phaco-EX-PRESS for refractory open-angle glaucoma with cataract
Guoji Yanke Zazhi
phacoemulsification
phaco-EX-PRESS
refractory open-angle glaucoma
cataract
intraocular pressure
complications
title Phaco-EX-PRESS for refractory open-angle glaucoma with cataract
title_full Phaco-EX-PRESS for refractory open-angle glaucoma with cataract
title_fullStr Phaco-EX-PRESS for refractory open-angle glaucoma with cataract
title_full_unstemmed Phaco-EX-PRESS for refractory open-angle glaucoma with cataract
title_short Phaco-EX-PRESS for refractory open-angle glaucoma with cataract
title_sort phaco ex press for refractory open angle glaucoma with cataract
topic phacoemulsification
phaco-EX-PRESS
refractory open-angle glaucoma
cataract
intraocular pressure
complications
url http://ies.ijo.cn/cn_publish/2019/8/201908018.pdf
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