Clinical effect and safety analysis of phacoemulsification combined with goniosynechialysis in the treatment of primary acute angle-closure glaucoma complicated with cataract
Objective To evaluate the effect and safety of phacoemulsification combined with goniosynechialysis in the treatment of primary acute angle-closure glaucoma complicated with cataract.Methods 100 patients with primary acute angle-closure glaucoma and cataract were selected as the study subjects.They were randomly divided into an experimental group and a control group,each with 50 cases.The experimental group was treated with phacoemulsification and goniosynechialysis,and the control group was treated with phacoemulsification and trabeculectomy.The treatment effect,the best corrected visual acuity,intraocular pressure,anterior chamber depth,anterior chamber angle width before and 3 months after surgery and complications were compared between the two groups.Results The total effective rate of the experimental group(98.00%)was higher than the control group(86.00%),and the difference was statistically significant(P<0.05).Before surgery,the best corrected visual acuity,intraocular pressure,anterior chamber depth,anterior chamber angle width in the experimental group were(0.23±0.08),(43.60±3.45)mm Hg(1 mm Hg=0.133 kPa),(2.35±0.27)mm,and(13.52±2.63)°,and those in the control group were(0.24±0.10),(43.52±4.17)mm Hg,(2.46±0.35)mm,and(13.44±3.07)°,respectively.After 3 months of surgery,the best corrected visual acuity,intraocular pressure,anterior chamber depth,anterior chamber angle width in the experimental group were(0.47±0.03),(15.26±1.75)mm Hg,(3.30±0.14)mm,and(30.21±1.27)°,and those in the control group were(0.38±0.04),(18.38±2.07)mm Hg,(3.02±0.25)mm,and(26.35±1.14)°,respectively.At 3 months after surgery,the best corrected visual acuity,anterior chamber depth,and anterior chamber angle width in both groups were higher than those before surgery,and the intraocular pressure was lower than that before surgery;and the experimental group had higher best corrected visual acuity,anterior chamber depth and anterior chamber angle width,and lower intraocular pressure;the difference was statistically significant(P<0.05).The incidence of complications in the experimental group(6.00%)was lower than the control group(20.00%),and the difference was statistically significant(P<0.05).Conclusion For patients with primary acute angle-closure glaucoma complicated with cataract,phacoemulsification combined with trabeculectomy and goniosynechialysis can achieve certain results,and the application of phacoemulsification combined with goniosynechialysis can obtain high-quality results.It is of great significance to improve the best corrected visual acuity,intraocular pressure,anterior chamber depth,anterior chamber angle width and other indicators,and reduce the probability of complications.
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