滤过性青光眼患者的颞侧角膜超声乳化术

Temporal corneal phacoemulsification in filtered glaucoma patients.

作者信息

Caprioli J, Park H J, Kwon Y H, Weitzman M

机构信息

Department of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut, USA.

出版信息

Trans Am Ophthalmol Soc. 1997;95:153-67; discussion 167-70.

PMID:9440168

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1298356/

Abstract

PURPOSE

To evaluate the effect of temporal clear corneal phacoemulsification on intraocular pressure (IOP) in eyes that had prior trabeculectomy.

DESIGN

Retrospective case-control study.

PATIENTS

Forty consecutive patients (cases; TRAB-PHACO group) who underwent temporal corneal phacoemulsification subsequent to trabeculectomy were identified. Forty patients (controls; TRAB group) who had trabeculectomy alone were matched to the cases for length of follow-up, age, IOP, number of anti-glaucoma medications, number of 5-fluorouracil (5-FU) injections, race, sex and diagnosis.

MAIN OUTCOME MEASURES

Comparison of IOP before and one year after phacoemulsification in the TRAB-PHACO group, and comparison with the TRAB group. Survival analysis of IOP control after trabeculectomy in the TRAB-PHACO and TRAB groups.

RESULTS

In the TRAB-PHACO group, IOP one year after phacoemulsification was not significantly different from the pre-phacoemulsification IOP value (p = 0.65). Kaplan-Meier survival analysis showed that the rates of IOP control at 3, 6 and 9 years after trabeculectomy in the TRAB-PHACO group were 80%, 66% and 44%; in the TRAB group these were 79%, 69% and 55%. These survival curves were not statistically different (p = 0.55).

CONCLUSIONS

Cataract surgery by temporal clear corneal phacoemulsification in eyes with filtering blebs after trabeculectomy does not adversely affect long term IOP control.

摘要

目的

评估颞侧透明角膜超声乳化术对既往接受小梁切除术的眼睛眼压（IOP）的影响。

设计

回顾性病例对照研究。

患者

确定了40例连续接受小梁切除术后颞侧角膜超声乳化术的患者（病例组；小梁切除联合超声乳化组）。40例仅接受小梁切除术的患者（对照组；小梁切除组）在随访时间、年龄、眼压、抗青光眼药物数量、5-氟尿嘧啶（5-FU）注射次数、种族、性别和诊断方面与病例组匹配。

主要观察指标

小梁切除联合超声乳化组超声乳化术前和术后一年眼压的比较，以及与小梁切除组的比较。小梁切除联合超声乳化组和小梁切除组小梁切除术后眼压控制的生存分析。

结果

在小梁切除联合超声乳化组中，超声乳化术后一年的眼压与超声乳化术前眼压值无显著差异（p = 0.65）。Kaplan-Meier生存分析显示，小梁切除联合超声乳化组小梁切除术后3年、6年和9年的眼压控制率分别为80%、66%和44%；小梁切除组分别为79%、69%和55%。这些生存曲线无统计学差异（p = 0.55）。