Phacoviscocanalostomy versus phacotrabeculectomy to treat glaucoma associated with cataracts: a meta-analysis.

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL

Einstein-Sao Paulo Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI:10.31744/einstein_journal/2025RW1045

Dillan Cunha Amaral, Mário Luiz Ribeiro Monteiro, Denisse J Mora-Paez, Ana Luiza Machado Ribeiro Pimentel, Matheus Mizerani Fernandes de Almeida, Jacqueline L Chen, Raíza Jacometti, Milton Ruiz Alves, Jaime Guedes, Ricardo Noguera Louzada

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引用次数: 0

Abstract

Objective: To compare the effectiveness and safety of phacoviscocanalostomy and phacotrabeculectomy in treating combined glaucoma and cataracts.

Methods: A systematic review and meta-analysis were conducted following the PRISMA guidelines. The PubMed, Web of Science, Cochrane, and Embase databases were searched for randomized controlled trials or observational studies comparing phacotrabeculectomy to phacoviscocanalostomy in patients with glaucoma and cataracts. Statistical analysis was used to compare the efficacy (intraocular pressure reduction, mean deviation of the visual field, and failure rates) and safety (general complication rate and rates of hyphema, hypotony, perforation, and intraocular pressure spikes) between the two procedures.

Results: The study included 331 eyes from one randomized controlled trial and two non-randomized controlled trials, with 154 undergoing phacoviscocanalostomy and 177 undergoing phacotrabeculectomy. The results indicated no significant differences in surgical failure rates, mean deviation of the visual field, and intraocular pressure at one, three, six, and twelve months between the phacoviscocanalostomy and phacotrabeculectomy groups. Furthermore, although the overall complication rate between the two procedures showed no difference, the rate of intraocular pressure spikes was higher in patients who underwent phacoviscocanalostomy.

Conclusion: Phacotrabeculectomy and phacoviscocanalostomy are effective treatments for glaucoma and cataracts.Prospero database registration: (www.crd.york.ac.uk/prospero) under ID CRD42024502391.

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白内障相关性青光眼的超声粘管吻合术与超声小梁切除术的meta分析

目的比较虹膜视网膜切开术和虹膜泪囊切除术治疗合并青光眼和白内障的有效性和安全性：按照 PRISMA 指南进行了系统综述和荟萃分析。研究人员在 PubMed、Web of Science、Cochrane 和 Embase 数据库中搜索了在青光眼和白内障患者中比较虹膜视网膜切除术和虹膜泪囊造口术的随机对照试验或观察性研究。统计分析用于比较两种手术的疗效（眼压降低、视野平均偏差和失败率）和安全性（一般并发症发生率和红斑、眼压过低、穿孔和眼压飙升的发生率）：研究包括一项随机对照试验和两项非随机对照试验中的 331 只眼睛，其中 154 只眼睛接受了虹膜视网膜造口术，177 只眼睛接受了虹膜视网膜切除术。结果表明，在手术失败率、视野平均偏差以及眼压方面，相视乳孔造口术组和相视乳孔切除术组在一个月、三个月、六个月和十二个月时没有明显差异。此外，虽然两种手术的总体并发症发生率没有差异，但接受幽门潜孔造口术的患者眼压骤升的发生率更高：咽鼓管切除术和咽鼓管造口术是治疗青光眼和白内障的有效方法。Prospero数据库注册：（www.crd.york.ac.uk/prospero），ID为CRD42024502391。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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