Surgical treatment of primary acute angle-closure glaucoma during COVID-19 disease outbreak in Wuhan

AIM: To summarize the characteristics and treatment of primary acute angle-closure glaucoma during the outbreak of corona virus disease 2019(COVID-19)in Wuhan.<p>METHODS: Five patients(9 eyes)with primary acute angle-closure glaucoma(APACG)of our hospital were enrolled. Eight eyes with sustain...

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Main Authors: Qian Ye, Yan-Ping Song, Hua-Fang Guo, Wen-Qiang Zhang
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2020-12-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2020/12/202012037.pdf
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author Qian Ye
Yan-Ping Song
Hua-Fang Guo
Wen-Qiang Zhang
author_facet Qian Ye
Yan-Ping Song
Hua-Fang Guo
Wen-Qiang Zhang
author_sort Qian Ye
collection DOAJ
description AIM: To summarize the characteristics and treatment of primary acute angle-closure glaucoma during the outbreak of corona virus disease 2019(COVID-19)in Wuhan.<p>METHODS: Five patients(9 eyes)with primary acute angle-closure glaucoma(APACG)of our hospital were enrolled. Eight eyes with sustained high intraocular pressure(IOP)were given phacoemulsification with goniosynechialysis and one eye in preclinical phase was given YAG laser iridectomy from March 3-20, 2020. The preoperative and postoperative IOP, visual acuity, hospitalization days and complications were reviewed and analyzed.<p>RESULTS: Three out of five APACG cases were binocular attack. The onset time was 12-40(25.2±11.82)d. The IOP(48.38±3.22mmHg)of eight eyes decreased significantly after surgeries(12.63±1.68mmHg), the difference was statistically significant(<i>t</i>=12.192, <i>P</i><0.01). The hospitalization time was 2-6(3.8±1.48)d. No COVID-19 infection or severe complications were observed. <p>CONCLUSION:During the epidemic of COVID-19, phacoemulsification with goniosynechialysis is able to reduce IOP of APACG patients who suffered from longer, heavier and binocular attack in the epidemic area effectively and safely. Strict prevention management can effectively ensure the safety of medical staff and patients, but also increase the difficulty of the surgeries meanwhile.
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spelling doaj.art-b26997d45440474b98c95bf48b25a5ab2022-12-22T00:22:47ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232020-12-0120122188219110.3980/j.issn.1672-5123.2020.12.37Surgical treatment of primary acute angle-closure glaucoma during COVID-19 disease outbreak in WuhanQian Ye0Yan-Ping Song1Hua-Fang Guo2Wen-Qiang Zhang3Department of Ophthalmology, Fundus Laser Clinical Medical Research Center, the Central Theater General Hospital of PLA, Wuhan 430070, Hubei Province, ChinaDepartment of Ophthalmology, Fundus Laser Clinical Medical Research Center, the Central Theater General Hospital of PLA, Wuhan 430070, Hubei Province, ChinaDepartment of Ophthalmology, Fundus Laser Clinical Medical Research Center, the Central Theater General Hospital of PLA, Wuhan 430070, Hubei Province, ChinaDepartment of Ophthalmology, Fundus Laser Clinical Medical Research Center, the Central Theater General Hospital of PLA, Wuhan 430070, Hubei Province, ChinaAIM: To summarize the characteristics and treatment of primary acute angle-closure glaucoma during the outbreak of corona virus disease 2019(COVID-19)in Wuhan.<p>METHODS: Five patients(9 eyes)with primary acute angle-closure glaucoma(APACG)of our hospital were enrolled. Eight eyes with sustained high intraocular pressure(IOP)were given phacoemulsification with goniosynechialysis and one eye in preclinical phase was given YAG laser iridectomy from March 3-20, 2020. The preoperative and postoperative IOP, visual acuity, hospitalization days and complications were reviewed and analyzed.<p>RESULTS: Three out of five APACG cases were binocular attack. The onset time was 12-40(25.2±11.82)d. The IOP(48.38±3.22mmHg)of eight eyes decreased significantly after surgeries(12.63±1.68mmHg), the difference was statistically significant(<i>t</i>=12.192, <i>P</i><0.01). The hospitalization time was 2-6(3.8±1.48)d. No COVID-19 infection or severe complications were observed. <p>CONCLUSION:During the epidemic of COVID-19, phacoemulsification with goniosynechialysis is able to reduce IOP of APACG patients who suffered from longer, heavier and binocular attack in the epidemic area effectively and safely. Strict prevention management can effectively ensure the safety of medical staff and patients, but also increase the difficulty of the surgeries meanwhile.http://ies.ijo.cn/cn_publish/2020/12/202012037.pdfcorona virus disease 2019ophthalmologyacute primary angle-closure glaucomaphacoemulsification with goniosynechialysiswuhan
spellingShingle Qian Ye
Yan-Ping Song
Hua-Fang Guo
Wen-Qiang Zhang
Surgical treatment of primary acute angle-closure glaucoma during COVID-19 disease outbreak in Wuhan
Guoji Yanke Zazhi
corona virus disease 2019
ophthalmology
acute primary angle-closure glaucoma
phacoemulsification with goniosynechialysis
wuhan
title Surgical treatment of primary acute angle-closure glaucoma during COVID-19 disease outbreak in Wuhan
title_full Surgical treatment of primary acute angle-closure glaucoma during COVID-19 disease outbreak in Wuhan
title_fullStr Surgical treatment of primary acute angle-closure glaucoma during COVID-19 disease outbreak in Wuhan
title_full_unstemmed Surgical treatment of primary acute angle-closure glaucoma during COVID-19 disease outbreak in Wuhan
title_short Surgical treatment of primary acute angle-closure glaucoma during COVID-19 disease outbreak in Wuhan
title_sort surgical treatment of primary acute angle closure glaucoma during covid 19 disease outbreak in wuhan
topic corona virus disease 2019
ophthalmology
acute primary angle-closure glaucoma
phacoemulsification with goniosynechialysis
wuhan
url http://ies.ijo.cn/cn_publish/2020/12/202012037.pdf
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