Phaco+IOL联合TBL在闭角型青光眼合并白内障患者治疗中的应用价值

doi:10.3969/j.issn.1671-7171.2024.06.027

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Abstract 【Objective】To explore the application value of phacoemulsification (Phaco)+ LOL combined with trabeculectomy(TBL) in the treatment of patients with angle closure glaucoma complicated with cataract. 【Methods】 A total of 82 patients with angle closure glaucoma complicated with cataracts admitted to Tongren Aier Ophthalmology Hospital and Anhua Aier Ophthalmology Hospital from January 2021 to January 2024 were randomly divided into the observation group and the control group, with 41 cases in each group, using a random number table method. Both groups received routine control of intraocular pressure treatment. The observation group received Phaco+LOL combined with TBL treatment simultaneously, while the control group received TBL treatment simultaneously. We compared the visual acuity, intraocular pressure, anterior chamber depth, and incidence of complications between two groups at preoperative, postoperative 3 days, postoperative 1 month, and 3 months. 【Results】At 1 month and 3 months after surgery, the observation group had higher visual acuity than the control group, and lower intraocular pressure levels than the control group, with statistically significant differences(P<0.05). At 3 months after surgery, the anterior chamber depth in the observation group was(2.43±0.20)mm, significantly higher than that in the control group(2.02±0.16)mm, with a statistically significant difference(t=10.50, P=0.000). There was no statistically significant difference in the total incidence of complications between the two groups(P>0.05).【Conclusion】The combination of Phaco+LOL and TBL can effectively reduce intraocular pressure and improve visual acuity in patients with angle closure glaucoma complicated with cataracts.

Key words： Glaucoma, Angle-Closure/CO Cataract/CO Phacoemulsification Lenses, Intraocular

Received: 10 May 2024

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	XUN Zheng
	WU Tianli
	DAI Pingchun
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XUN Zheng,WU Tianli,DAI Pingchun, et al. The Application Value of Phaco+LOL Combined with TBL in the Treatment of Patients with Angle Closure Glaucoma and Cataract[J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(6): 896-899.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2024.06.027 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2024/V41/I6/896

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