Iris Cerclage To Treat Persistent Mydriasis Following Acute Angle Closure Glaucoma Improves Visual Quality.

IF 2 4区 医学 Q2 OPHTHALMOLOGY
Journal of Glaucoma Pub Date : 2024-09-01 Epub Date: 2024-03-07 DOI:10.1097/IJG.0000000000002377
Xianhuai Wang, Tianhui Li, Xinyu Guo, Qing Feng, Xincheng Sun
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引用次数: 0

Abstract

Prcis: We developed a modified iris cerclage technique that improves best corrected visual acuity, pupillary parameters, self-assessed photophobia, and visual function index-14 questionnaire scores in patients with acute primary angle closure and permanent mydriasis after cataract surgery.

Purpose: To evaluate the efficacy of a modified iris cerclage technique in patients with acute primary angle closure (PAC) and permanent mydriasis after cataract surgery.

Patients and methods: Twelve eyes of 12 patients with acute PAC and permanent mydriasis at more than 3 months after phacoemulsification combined with intraocular lens (IOL) implantation underwent modified iris cerclage. Best corrected visual acuity (BCVA), intraocular pressure (IOP), pupil diameter, and visual function index-14 (VF-14) questionnaire and self-assessed photophobia scores before surgery and at 1 week, 1 month, and 3 months postoperatively were compared. Further, the postoperative pupil position morphology and complications were evaluated.

Results: BCVA improved from 0.48±0.23 preoperatively to 0.28±0.15, 0.27±0.15, and 0.26±0.14 at 1 week, 1 month, and 3 months postoperatively, respectively ( P =0.008). No significant difference was observed between the preoperative and postoperative IOP ( P =0.974). Pupil diameter improved from 6.34±0.51 mm preoperatively to 3.59±0.33, 3.59±0.34, and 3.58±0.32 mm at 1 week, 1 month, and 3 months postoperatively, respectively ( P <0.001). Self-assessed photophobia scores improved from 3.33±0.78 preoperatively to 0.83±0.72, 0.51±0.15, and 0.45±0.14 at 1 week, 1 month, and 3 months postoperatively, respectively ( P <0.001). VF-14 scores improved from 47.6±6.1 points preoperatively to 67.9±6.2, 72.1±6.1, and 73.5±6.0 points at 1 week, 1 month, and 3 months postoperatively, respectively ( P< 0.001). Postoperatively, all pupils were centered and round. No postoperative complications, such as iris-suture slippage, iridodialysis, or exposure of the IOL's optical zone edge, were observed.

Conclusion: Modified iris cerclage creates a centered, precisely sized, round pupil. It improves visual quality in patients with acute PAC and permanent mydriasis after cataract surgery.

用虹膜环扎术治疗急性闭角型青光眼后的持续性瞳孔散大可改善视觉质量。
Prcis:我们开发了一种改良的虹膜环扎技术,该技术可改善白内障手术后急性原发性角膜闭合和永久性眼球混浊患者的最佳矫正视力、瞳孔参数、自我评估的畏光程度和视觉功能指数-14问卷评分。目的:评估改良虹膜环扎技术在白内障手术后急性原发性角膜闭合(PAC)和永久性角膜混浊患者中的疗效。患者和方法:12 位白内障手术后急性原发性角膜闭合(PAC)和永久性角膜混浊患者中的 12 只眼睛在接受超声乳化联合人工晶体植入术后超过 3 个月时接受了改良虹膜环扎术。比较了术前和术后 1 周、1 个月和 3 个月的最佳矫正视力 (BCVA)、眼压 (IOP)、瞳孔直径、视觉功能指数-14 (VF-14) 问卷和自我评估的畏光评分。此外,还对术后瞳孔位置、形态和并发症进行了评估:BCVA分别从术前的0.48±0.23提高到术后1周、1个月和3个月时的0.28±0.15、0.27±0.15和0.26±0.14(P=0.008)。术前和术后眼压无明显差异(P=0.974)。瞳孔直径从术前的 6.34±0.51 毫米分别改善到术后 1 周、1 个月和 3 个月时的 3.59±0.33、3.59±0.34 和 3.58±0.32毫米(PC结论:改良虹膜环扎术能改善瞳孔直径:改良型虹膜环扎术可形成居中、大小精确的圆形瞳孔。它能改善白内障手术后急性 PAC 和永久性瞳孔散大患者的视觉质量。
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来源期刊
Journal of Glaucoma
Journal of Glaucoma 医学-眼科学
CiteScore
4.20
自引率
10.00%
发文量
330
审稿时长
4-8 weeks
期刊介绍: The Journal of Glaucoma is a peer reviewed journal addressing the spectrum of issues affecting definition, diagnosis, and management of glaucoma and providing a forum for lively and stimulating discussion of clinical, scientific, and socioeconomic factors affecting care of glaucoma patients.
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