Noh Ha Jeong, Kim Seong Taeck
Department of Ophthalmology, Chosun University Hospital, Dong-gu, Gwang-ju 501-717, Republic of Korea.
Int J Ophthalmol. 2019 Jun 18;12(6):974-979. doi: 10.18240/ijo.2019.06.15. eCollection 2019.
To evaluate the efficacy of combined treatment of phacoemulsification (PE) and micro-incisional single-port transconjunctival limited pars plana vitrectomy (PPV) in acute angle-closure glaucoma (AACG).
A retrospective study included 26 patients who underwent PE diagnosed with AACG. Among them, 16 patients (16 eyes) underwent PE alone, 10 patients (10 eyes) underwent combined limited vitrectomy and PE. Then we compared intraocular pressure (IOP), anterior chamber angle, anterior chamber depth, central corneal thickness and corneal endothelial cell count before and after surgery, and effective PE time during cataract surgery.
Effective PE time was shorter in the combined surgery group than in the single surgery group (=0.040). There was no statistically significant difference in IOP and best-corrected visual acuity between the two groups postoperatively. At 6mo postoperatively, there was no difference in the anterior chamber angle, anterior chamber depth, and central corneal thickness between two groups, but corneal endothelial cell count was higher in the combined surgery group than in the single surgery group (=0.046). No complication such as vitreoretinal disease, endophthalmitis, bullous keratopathy was noted.
Combined micro-incisional single-port transconjunctival limited PPV and PE are more effective and safer than PE alone because of less operation time and fewer complications for management of AACG.
评估白内障超声乳化吸除术（PE）联合微小切口单通道经结膜无缝线小梁切除术（PPV）治疗急性闭角型青光眼（AACG）的疗效。
一项回顾性研究纳入了26例诊断为AACG并接受PE的患者。其中，16例患者（16只眼）仅接受PE，10例患者（10只眼）接受有限玻璃体切除术联合PE。然后比较手术前后的眼压（IOP）、前房角、前房深度、中央角膜厚度和角膜内皮细胞计数，以及白内障手术期间的有效PE时间。
联合手术组的有效PE时间比单手术组短（=0.040）。两组术后IOP和最佳矫正视力差异无统计学意义。术后6个月，两组前房角、前房深度和中央角膜厚度无差异，但联合手术组角膜内皮细胞计数高于单手术组（=0.046）。未观察到玻璃体视网膜疾病、眼内炎、大泡性角膜病变等并发症。
联合微小切口单通道经结膜无缝线有限PPV和PE治疗AACG比单纯PE更有效、更安全，因为手术时间更短，并发症更少。
