Clinical Study of Endoscopic Ciliary Body Photocoagulation Combined with Phacoemulsification Intraocular Lens Implantation for the Treatment of Angle Closure Glaucoma with Cataract
Objective:To analyze the effect of endoscopic ciliary body photocoagulation combined with phacoemulsification intraocular lens implantation in patients with angle closure glaucoma(ACG)complicated with cataract.Method:A total of 82 patients with ACG complicated with cataract admitted to Tai'an 88 Hospital from March 2021 to March 2023 were selected and divided into two groups according to random number table method,with 41 cases in each group.The control group was treated with atrial angle adhesion separation combined with phacoemulsification intraocular lens implantation,the observation group was treated with endoscopic ciliary body photocoag-ulation+phacoemulsification intraocular lens implantation,and the postoperative follow-up was 3 months.The visual acuity,intraocular pressure,central anterior chamber depth,quality of life and complication rate were compared between the two groups.Result:Before surgery,there were no significant differences in the scores of best corrected visual acuity(BCVA),intraocular pressure,central anterior chamber depth and generic quality of life inventory-74(GQOLI-74)between the two groups(P>0.05).Three months after surgery,BCVA and central anterior chamber depth in observation group were higher than those in control group,intraocular pressure was lower than that in control group,and GQOLI-74 scores were higher than those in control group,the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion:Endoscopic ciliary body photocoagulation combined with phacoemulsification intraocular lens implantation can improve the vision of ACG patients with cataract,reduce the intraocular pressure,increase the central anterior depth,and improve the quality of life without serious complications.
国家科技期刊平台
NSTL
万方数据
维普
