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| Clinical Efficacy and Prognostic Factors of Lens Implantation Combined with Anterior Vitrectomy for Malignant Glaucoma |
| CUI Shu-ting, LIU Cheng-sheng, LIU Hong |
| Department of Ophthalmology, Yiyuan People's Hospital, Zibo Shandong 256100, China |
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Abstract 【Objective】To analyze the influencing factors of clinical efficacy of phacoemulsification and intraocular lens implantation combined with anterior vitrectomy in patients with malignant glaucoma. 【Methods】From April 2013 to April 2017, 88 patients (96 eyes) with malignant glaucoma underwent anterior vitrectomy combined with phacoemulsification and intraocular lens implantation. The patients with normal intraocular pressure and anterior chamber formation were regarded as good group, while those with poor anterior chamber formation were regarded as ineffective group. The changes of visual acuity and intraocular pressure before and after operation were compared, and the risk factors affecting the therapeutic effect were analyzed by Logistic.【Results】After operation, 61 of 88 patients (96 eyes) had visual acuity improvement of two lines or more; 20 patients (22 eyes) had visual acuity higher than 0.3; 41 patients (44 eyes) had visual acuity of 0.1~0.3; 27 patients (30 eyes) had no significant change; and no visual acuity decreased. After operation, 42 patients (46 eyes) had intraocular pressure control, 34 patients (37 eyes) had partial control, and 12 patients (13 eyes) had no effect. The effective rate of intraocular pressure control was 86.46%. There was significant difference between the good group and the ineffective group in the length of eye axis and the distance between scleral processes before operation (P<0.05). Axis length and age before surgery were independent risk factors affecting the outcome of surgery (P<0.05).【Conclusion】The age of the patients and the length of the ocular axis affect the surgical treatment of malignant glaucoma, which should be paid attention to clinically.
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Received: 10 May 2018
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2019, Vol. 36 
