Keywords
Atrial angle segmentation
Primary closed-angle glaucoma
Submitted : 2024-07-13
Accepted : 2024-07-28
Published : 2024-08-12
Abstract
Objective: To evaluate the therapeutic effect of cataract ultrasonic emulsification (PE) combined with atrial angle separation (CSS) for primary angle-closure glaucoma (PACG). Methods: 78 patients with PACG admitted to the hospital between October 2021 and October 2023 were selected and grouped by randomized numerical table; 39 cases were counted in the observation group and selected PE combined with CSS surgery; 39 cases were counted in the reference group and selected PE combined with trabeculectomy and the total effective rate, the state of the atrial angle, the clinical indexes, the degree of ocular symptoms, and the complication rate were compared. Results: The total effective rate of the observation group was higher than that of the reference group, and the percentage of the wide atrial angle of the atrial angle status was higher than that of the reference group; 3 months after the operation, the logarithm of the minimum angle of resolution (Log MAR) and intraocular pressure of the observation group was lower than that of the reference group, and the central anterior chamber depth (ACD) was greater than that of the reference group; the scores of the degree of ocular symptoms of the observation group were lower than that of the reference group, and the rate of complication was lower than that of the reference group (P < 0.05). Conclusion: PE combined with CSS surgical treatment for PACG patients can improve the efficacy of treatment, improve the state of the patients’ atrial angles, and restore the ocular function indexes. It can alleviate the ocular symptoms as soon as possible and has a high surgical safety.
References
Yang Y, Ma W, 2024, Effects of Cataract Ultrasonic Emulsification Combined with Atrial Angle Segmentation on Intraocular Pressure and Atrial Angle Structure in Patients with Primary Angle-Closure Glaucoma and Senile Cataract. Chinese Journal of Practical Medicine, 51(9): 9–12.
Shi B, Wang C, Lu D, 2024, Effect of Ultrasonic Emulsification Suction Combined with Atrial Angle Segmentation in the Treatment of Cataract Combined with Acute Primary Angle-Closure Glaucoma Patients. Zhongguo Nankang Medicine, 36(9): 67–70.
Wang G, Dong J, 2023, Effectiveness and Safety of Lens Ultrasonic Emulsification Combined with Atrial Angle Segmentation in the Treatment of Primary Angle-Closure Glaucoma Combined with Cataract. Intelligent Health, 9(12): 78–81, 94.
Qin Q, Yang J, Wang Y, 2023, Clinical Effect of Atrial Angle Separation Combined with Cataract Ultrasonic Emulsification in Treating Patients with Primary Angle-Closure Glaucoma Combined with Cataract. Guangxi Medicine, 45(22): 2687–2690, 2710.
Song Y, Zhang Y, Lin F, et al., 2022, Evaluation of the Efficacy and Safety of PEI Combined with Atrial Angular Segmentation and Atrial Angulotomy in the Treatment of Middle- to Late-Stage PACG. Chinese Journal of Experimental Ophthalmology, 40(4): 334–339.
Liu X, Zheng Y, Yang J, et al., 2023, Femtosecond Laser-Assisted Ultrasonic Emulsification Combined with Atrial Angle Segmentation for the Treatment of Primary Acute Angle-Closure Glaucoma Combined with Cataract. International Journal of Ophthalmology, 23(6): 963–966.
Tan J, Zhou W, 2020, Analysis of the Efficacy of Atrial Angle Separation Combined with Cataract Ultrasonography and IOL Implantation in the Treatment of Chronic Angle-Closure Glaucoma. Journal of Practical Hospital Clinics, 17(4): 224–226.
Yang X, Liu J, 2020, Clinical Efficacy Analysis of Ultrasonic Emulsification Combined with Anterior Chamber Angle Separation in the Treatment of Glaucoma Combined with Cataract. Laboratory Medicine and Clinics, 17(6): 823–825.
Huang C, Wu J, Wu Q, et al., 2020, Application of Ultrasonic Emulsification Combined with Pupillary Inferior Chamber Angle Detachment in Cataract Combined with Angle-Closure Glaucoma. Journal of Ningxia Medical University, 42(12): 1249–1253.
Li Y, Wang B, Ma K, et al., 2021, Effect of Ultrasonic Emulsification Cataract Aspiration Combined with Atrial Angle Segmentation on Postoperative Ocular Surface in the Treatment of Glaucoma Combined with Cataract. Jiangsu Medicine, 47(1): 62–65.
Kong L, Dai M, Zheng Z, et al., 2020, Ultrasonic Emulsification Combined with Atrial Angle Segmentation for Acute Angle-Closure Glaucoma Combined with Cataract. Journal of Kunming Medical University, 41(7): 49–53.