Phacoemulsification and Trabeculotomy Combined With Goniosynechialysis for Uncontrollable Chronic Angle-Closure Glaucoma

被引：29
作者：
Kiuchi, Yoshiaki [1 ]
Tsujino, Chieko [2 ]
Nakamura, Takao [2 ]
Otori, Yasumasa [3 ]
Mochizuki, Hideki
机构：
[1] Hiroshima Univ, Dept Ophthalmol & Visual Sci, Minami Ku, Hiroshima 7348551, Japan
[2] Otemae Hosp, Dept Ophthalmol, Osaka, Japan
[3] Osaka Natl Hosp, Dept Ophthalmol, Osaka, Japan
来源：
OPHTHALMIC SURGERY LASERS & IMAGING | 2010年 / 41卷 / 03期
关键词：
CATARACT; PHACOTRABECULECTOMY; EYES;
D O I：
10.3928/15428877-20100430-09
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
BACKGROUND AND OBJECTIVE: To assess and explore the effectiveness of phacoemulsification and trabeculotomy combined with goniosynechialysis in lowering intraocular pressure in eyes with uncontrollable chronic angle-closure glaucoma. PATIENTS AND METHODS: The medical charts of 24 eyes of 22 patients with chronic angle-closure glaucoma were reviewed retrospectively. The probability of successful treatment in 12 eyes that had earlier glaucoma attacks and 12 that did not have an attack were evaluated with Kaplan-Meier life-table analysis with the target pressure set at 15 mm Hg. RESULTS: Mean preoperative intraocular pressure for all eyes was 33.3 +/- 12.0 mm Hg and decreased to 11.8 +/- 2.3 mm Hg. The success rate was 86.6% at 1 year after surgery. Life-table analysis showed that there was no significant difference in the two groups. CONCLUSION: Phacoemulsification and trabeculotomy combined with goniosynechialysis is an effective surgical treatment for chronic angle-closure glaucoma in eyes with or without a previous glaucoma attack.
引用
收藏
页码：348 / 354
页数：7
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