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Article: Combined Phacoemulsification and Goniosynechialysis under an Endoscope for Chronic Primary Angle-closure Glaucoma

TitleCombined Phacoemulsification and Goniosynechialysis under an Endoscope for Chronic Primary Angle-closure Glaucoma
Authors
Issue Date2018
PublisherHindawi Publishing Corporation. The Journal's web site is located at http://www.hindawi.com/journals/jop
Citation
Journal of Ophthalmology, 2018, v. 2018, article no. 8160184, p. 1-7 How to Cite?
AbstractPurpose. To investigate the clinical efficacy and safety of combined phacoemulsification with goniosynechialysis (GSL) under an ophthalmic endoscope for chronic primary angle-closure glaucoma and coexisting cataract. Methods. This is a retrospective study. The intraocular pressure (IOP), best-corrected visual acuity (BCVA), and number of glaucoma medications at baseline and each postoperative follow-up visit were recorded. Other measurements included supraciliochoroidal fluid measured by anterior segment optical coherence tomography, corneal endothelial cell density (ECD), and peripheral anterior synechia (PAS). All patients were followed for more than a year. Results. Thirty-eight eyes of 31 patients were included. The mean follow-up duration was 16.3 ± 3.9 months. The IOP decreased from 22.2 ± 9.3 mmHg at baseline to 15.4 ± 4.2 mmHg at the last follow-up (P<0.001). The mean number of glaucoma medications (0.1 ± 0.6) at the last follow-up was significantly lower than the preoperative number (2.3 ± 1.1) (P<0.001). All patients achieved improved or stable visual acuity after surgery. All patients achieved a complete opened angle after GSL. The postoperative complications included hyphema (7.9%), exudation (5.3%), transiently elevated IOP (55.3%), and supraciliochoroidal fluid (40%). Conclusions. Combined phacoemulsification and GSL under an endoscope can completely reopen PAS and is an effective and safe method for patients with chronic primary angle-closure glaucoma and coexisting cataract.
Persistent Identifierhttp://hdl.handle.net/10722/261792
ISSN
2017 Impact Factor: 1.68
2015 SCImago Journal Rankings: 0.870
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorNie, L-
dc.contributor.authorPan, W-
dc.contributor.authorFang, A-
dc.contributor.authorLi, Z-
dc.contributor.authorQian, Z-
dc.contributor.authorFu, L-
dc.contributor.authorChan, YK-
dc.date.accessioned2018-09-28T04:47:58Z-
dc.date.available2018-09-28T04:47:58Z-
dc.date.issued2018-
dc.identifier.citationJournal of Ophthalmology, 2018, v. 2018, article no. 8160184, p. 1-7-
dc.identifier.issn2090-004X-
dc.identifier.urihttp://hdl.handle.net/10722/261792-
dc.description.abstractPurpose. To investigate the clinical efficacy and safety of combined phacoemulsification with goniosynechialysis (GSL) under an ophthalmic endoscope for chronic primary angle-closure glaucoma and coexisting cataract. Methods. This is a retrospective study. The intraocular pressure (IOP), best-corrected visual acuity (BCVA), and number of glaucoma medications at baseline and each postoperative follow-up visit were recorded. Other measurements included supraciliochoroidal fluid measured by anterior segment optical coherence tomography, corneal endothelial cell density (ECD), and peripheral anterior synechia (PAS). All patients were followed for more than a year. Results. Thirty-eight eyes of 31 patients were included. The mean follow-up duration was 16.3 ± 3.9 months. The IOP decreased from 22.2 ± 9.3 mmHg at baseline to 15.4 ± 4.2 mmHg at the last follow-up (P<0.001). The mean number of glaucoma medications (0.1 ± 0.6) at the last follow-up was significantly lower than the preoperative number (2.3 ± 1.1) (P<0.001). All patients achieved improved or stable visual acuity after surgery. All patients achieved a complete opened angle after GSL. The postoperative complications included hyphema (7.9%), exudation (5.3%), transiently elevated IOP (55.3%), and supraciliochoroidal fluid (40%). Conclusions. Combined phacoemulsification and GSL under an endoscope can completely reopen PAS and is an effective and safe method for patients with chronic primary angle-closure glaucoma and coexisting cataract.-
dc.languageeng-
dc.publisherHindawi Publishing Corporation. The Journal's web site is located at http://www.hindawi.com/journals/jop-
dc.relation.ispartofJournal of Ophthalmology-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.titleCombined Phacoemulsification and Goniosynechialysis under an Endoscope for Chronic Primary Angle-closure Glaucoma-
dc.typeArticle-
dc.identifier.emailChan, YK: josephyk@connect.hku.hk-
dc.identifier.authorityChan, YK=rp02536-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1155/2018/8160184-
dc.identifier.pmid29576881-
dc.identifier.pmcidPMC5822755-
dc.identifier.scopuseid_2-s2.0-85042623162-
dc.identifier.hkuros293442-
dc.identifier.volume2018-
dc.identifier.spagearticle no. 8160184, p. 1-
dc.identifier.epagearticle no. 8160184, p. 7-
dc.identifier.isiWOS:000425413800001-
dc.publisher.placeUnited States-

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