Observation of the surgical options and long-term effect of cataract combined with glaucoma

中国实用眼科杂志 Pub Date : 2017-04-10 DOI:10.3760/CMA.J.ISSN.1006-4443.2017.04.014

Zhe Guo

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Abstract

Objective To explore the surgical approach of glaucoma combined with cataract and to observe its long-term clinical effect. Methods A total of 157 patients (183 eyes) with glaucoma combined with cataract were selected. Among them, 123 cases (131 eyes) of cataract were found by glaucoma admission, 34 cases (52 eyes) of glaucoma were found by cataract admission. There were 78 cases (87 eyes) of primary acute angle-closure glaucoma, 32 cases (47 eyes) of primary chronic angle-closure glau-coma, 3 cases (4 eyes) of primary open-angle glaucoma, cataract secondary glaucoma in 21 cases (21 eyes), residual glaucoma complicated with cataract in 23 cases (24 eyes). According to the cause of the disease, the course of disease, the degree of angle closure to choose different surgical methods, follow-up > 6 months to observe the treatment effect. Results Of 37 patients (41 eyes) underwent cataract surgery combined with glaucoma surgery (22.4%), 62 patients (73 eyes) underwent cataract surgery (39.9%) and 58 patients (69 eyes) underwent glaucoma surgery (37.7%). The intraocular pressure control was satisfactory in 136 cases (171 eyes, 93.4%) by not using or using 1-2 kinds of local reduction of intraocular pressure drugs, 11 cases (12 eyes, 6.6%) underwent secondary anti-glaucoma surgery. No serious complications occurred. Conclusions Various surgery approach for glaucoma with a cataract should be chosen depending on the different conditions. The success rate of operation should be improved to the maximum extent and the pain of the patients should be alleviated. Key words: Cataract secondary glaucoma; Clinical effect; Operation method; Residual glaucoma; Angle separation

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白内障合并青光眼的手术选择及远期疗效观察

目的探讨青光眼合并白内障的手术入路，并观察其远期临床疗效。方法选取青光眼合并白内障患者157例(183眼)。其中青光眼入院发现白内障123例(131眼)，白内障入院发现青光眼34例(52眼)。原发性急性闭角型青光眼78例(87眼)，原发性慢性闭角型青光眼32例(47眼)，原发性开角型青光眼3例(4眼)，白内障继发性青光眼21例(21眼)，残余青光眼合并白内障23例(24眼)。根据发病原因、病程、闭角程度选择不同的手术方式，随访> 6个月观察治疗效果。结果37例(41眼)行白内障合并青光眼手术(22.4%)，62例(73眼)行白内障手术(39.9%)，58例(69眼)行青光眼手术(37.7%)。未使用或使用1-2种局部降眼压药物136例(171眼，93.4%)眼压控制满意，11例(12眼，6.6%)行二次抗青光眼手术。无严重并发症发生。结论青光眼合并白内障应根据不同情况选择不同的手术入路。最大限度地提高手术成功率，减轻患者的痛苦。关键词:白内障继发性青光眼;临床效果;操作方法;残余青光眼;角分离

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中国实用眼科杂志

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期刊介绍： China Practical Ophthalmology was founded in May 1983. It is supervised by the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association and China Medical University, and publicly distributed at home and abroad. It is a national-level excellent core academic journal of comprehensive ophthalmology and a series of journals of the Chinese Medical Association. China Practical Ophthalmology aims to guide and improve the theoretical level and actual clinical diagnosis and treatment ability of frontline ophthalmologists in my country. It is characterized by close integration with clinical practice, and timely publishes academic articles and scientific research results with high practical value to clinicians, so that readers can understand and use them, improve the theoretical level and diagnosis and treatment ability of ophthalmologists, help and support their innovative development, and is deeply welcomed and loved by ophthalmologists and readers.