Effect of Phacoemulsification on Acute Angle-closure Glaucoma Compli-cated with Cataract
Objective To analyze the effect of phacoemulsification in treating acute angle-closure glaucoma with cata-ract.Methods A total of ninety patients with acute angle-closure glaucoma combined with cataract admitted to Xu-zhou Fuxing Eye Hospital from June 2020 to February 2023 were randomly selected as the study objects.They were divided into control group(45 cases,glaucoma cataract combined operation + intraocular lens implantation)and obser-vation group(45 cases,phacoemulsification cataract extraction + intraocular lens implantation)according to random number table method.The therapeutic effect,clinical indexes and complications were compared between the two groups.Results One week and one month after surgery,the naked eye visual acuity of observation group were(0.63±0.20)D,(0.85±0.22)D,which were higher than those of control group(0.41±0.13)D,(0.68±0.21)D,and the differ-ences were statistically significant(t=6.187,3.750,both P<0.05).The intraocular pressure were(15.58±2.24)mmHg,(12.50±2.18)mmHg,which were lower than those of the control group(19.86±3.51)mmHg,(16.23±3.31)mmHg,and the differences were statistically significant(t=6.895,6.313,both P<0.05).The central corneal thickness and anterior chamber depth of the observation group were higher than those of the control group,and the lens thickness and axial length coefficient and the lens opacity score were lower than those of the control group,and the differences were statis-tically significant(all P<0.05).The total complication rate of the observation group was 4.44%,which was lower than that of the control group 20.00%,and the difference was statistically significant(χ2=5.075,P<0.05).Conclusion Phacoemulsification in the treatment of acute angle-closure glaucoma combined with cataract can significantly im-prove the postoperative naked eye visual acuity,reduce postoperative intraocular pressure,improve clinical indicators,reduce complications,and thus accelerate the rehabilitation process.
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