Comparison of two surgical methods in the treatment of glaucoma combined with cataract

KANG Xinle; WANG Yu; SUN Hao; WANG Hui

doi:10.7619/jcmp.20223182

Journal of Clinical Medicine in Practice > 2023 > 27(4): 76-79. > DOI: 10.7619/jcmp.20223182

KANG Xinle, WANG Yu, SUN Hao, WANG Hui. Comparison of two surgical methods in the treatment of glaucoma combined with cataract[J]. Journal of Clinical Medicine in Practice, 2023, 27(4): 76-79. DOI: 10.7619/jcmp.20223182

Citation:

PDF (2005 KB)

Comparison of two surgical methods in the treatment of glaucoma combined with cataract

1.
Department of Ophthalmologyg, the Second People's Hospital of Huai'an City in Jiangsu Province, Huai'an, Jiangsu, 223002
2.
Department of Publicityg, the Second People's Hospital of Huai'an City in Jiangsu Province, Huai'an, Jiangsu, 223002
3.
Department of Nursing, the Second People's Hospital of Huai'an City in Jiangsu Province, Huai'an, Jiangsu, 223002

More Information

Received Date: October 25, 2022
Available Online: March 14, 2023

Graphical Abstract

Abstract

Abstract

Objective
To observe and compare the clinical effects of two different surgical methods on patients with glaucoma and cataract.
Methods
A total of 300 patients with glaucoma combined with cataract underwent surgical treatment were selected as the study objects, and randomly divided into observation group (n=150) and control group (n=150). The observation group received phacoemulsification combined with intraocular lens implantation and goniosynechialysis under atrial angle lens, while the control group received phacoemulsification combined with intraocular lens implantation and complex trabeculectomy. The parameters of preoperative and postoperative ultrasound biological microscopy (UBM) were analyzed in the two groups. The complication rate and recurrence rate of the two groups were compared.
Results
The results of UBM parameter analysis showed that the cure rate of the observation group was significantly higher than that of the control group (P < 0.05). The complication rate of the observation group was 2.67%(4/150), which was significantly lower than 13.33%(20/150) of the control group (P < 0.05). The recurrence rate of the observation group was 6.67%(10/150), which was significantly lower than 20.00%(30/150) of the control group (P < 0.05).
Conclusion
Phacoemulsification combined with intraocular lens implantation and goniosynechialysis under atrial angle lens are safer, and patients have less surgical trauma, fewer complications and better recovery compared with the other surgery.
- glaucoma,
- cataract,
- intraocular lens,
- goniosynechialysis,
- trabeculectomy,
- local recurrence

FullText(HTML)

References (9)

References

[1]	周凌丽. 2种不同手术方法治疗急性闭角型青光眼合并白内障的临床效果观察[J]. 临床合理用药杂志, 2017, 10(2): 147-148. https://www.cnki.com.cn/Article/CJFDTOTAL-PLHY201702108.htm
[2]	周丽娟, 赖铭莹, 龚建华, 等. 不同术式治疗原发性闭角型青光眼合并白内障50例的回顾性分析[J]. 现代诊断与治疗, 2017, 28(10): 1854-1855. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD201710052.htm
[3]	刘晓庆. 两种手术方式治疗原发性闭角型青光眼合并白内障的临床疗效比较[J]. 临床眼科杂志, 2019, 27(4): 339-342. https://www.cnki.com.cn/Article/CJFDTOTAL-LCYZ201904022.htm
[4]	郑志斌, 沈琪敏, 陈彦. 两种不同切口术式应用于超声乳化联合复合小梁切除术治疗白内障联合青光眼的临床疗效比较研究[J]. 浙江创伤外科, 2016, 21(4): 635-636. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJCW201604012.htm
[5]	TANG Y T, QIAN S H, WANG J J, et al. Effects of combined phacoemulsification and viscogoniosynechialysis versus trabeculectomy in patients with primary angle-closure glaucoma and coexisting cataract[J]. Ophthalmologica, 2012, 228(3): 167-173. doi: 10.1159/000338241
[6]	李燕, 汪亮, 李娟, 等. 两种联合手术方式治疗急性闭角型青光眼合并白内障的疗效比较[J]. 国际眼科杂志, 2018, 18(6): 1072-1076. https://www.cnki.com.cn/Article/CJFDTOTAL-GJYK201806022.htm
[7]	陈敏, 赵文君, 王俊, 等. 高度近视合并原发性开角型青光眼临床误诊的因素分析[J]. 中国实用医药, 2016, 11(25): 21-23. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201625010.htm
[8]	曾强. 高度近视合并原发性开角型青光眼的早期诊断与研究[J]. 中国妇幼健康研究, 2017, 28(S3): 497-498. https://www.cnki.com.cn/Article/CJFDTOTAL-SANE2017S3576.htm
[9]	王宜花. 超声乳化、人工晶体植入与小梁切除三联治疗青光合并白内障临床研究[J]. 中国实用医药, 2012, 7(17): 85-86. https://www.cnki.com.cn/Article/CJFDTOTAL-ZSSA201217057.htm

[1]	YANG Shuangyue, JIN Xing, MENG Zhaoxiang, KE Minghui, ZHANG Minjie, CHEN Chen. Efficacy of low-frequency repetitive transcranial magnetic stimulation assisted virtual reality interactive robot training on function of upper limbs in patients with stroke[J]. Journal of Clinical Medicine in Practice, 2025, 29(1): 28-32. DOI: 10.7619/jcmp.20243115
[2]	WU Yusi, JIANG Mingqing, LUO Hua, RUAN Jianghai. Research on spontaneous upper limb activity and graph theory of electroencephalogram in patients with acute ischemic stroke[J]. Journal of Clinical Medicine in Practice, 2024, 28(19): 73-78. DOI: 10.7619/jcmp.20242749
[3]	ZHAO Huiduo, WU Bing, CHE Zhiying. Construction and validation of risk predictive visualized model of upper limb lymphedema after breast cancer surgery[J]. Journal of Clinical Medicine in Practice, 2023, 27(24): 30-36. DOI: 10.7619/jcmp.20232484
[4]	ZHAO Chunhong, FENG Xuguang, WANG Xiaoxi, YIN Changheng. Effect of upper limb rehabilitation training combined with microwave hyperthermia for breast cancer patients undergoing peripherally inserted central catheter[J]. Journal of Clinical Medicine in Practice, 2021, 25(8): 39-42. DOI: 10.7619/jcmp.20210016
[5]	SONG Lin. Effect of group psychological intervention on psychological disturbance and upper extremity exercise in patients with breast cancer undergoing radical mastectomy[J]. Journal of Clinical Medicine in Practice, 2020, 24(11): 121-124. DOI: 10.7619/jcmp.202011033
[6]	HU Jie. Study on functional recovery and rehabilitation nursing in patients with breast cancer after radical operation[J]. Journal of Clinical Medicine in Practice, 2019, 23(24): 111-113, 117. DOI: 10.7619/jcmp.201924035
[7]	WANG Hailin. Effect of stage nursing intervention on function recovery of affected upper limbs in postoperative patients with breast cancer[J]. Journal of Clinical Medicine in Practice, 2018, (6): 90-92. DOI: 10.7619/jcmp.201806026
[8]	WANG Weifeng, CHEN Shi, SUN Qiong, WANG Shiqun. Effect of doctor-nurse integration health education on prevention of upper limb edema after breast cancer surgery[J]. Journal of Clinical Medicine in Practice, 2017, (12): 73-76. DOI: 10.7619/jcmp.201712022
[9]	ZHAO Shuai, HOU Nina. Effect of evidence-based nursing on upper limb function in breast cancer patients with postoperative radiotherapy[J]. Journal of Clinical Medicine in Practice, 2015, (18): 45-47,51. DOI: 10.7619/jcmp.201518015
[10]	ZHENG Li, JIANG Yinfen, CAI Lichun, LIU Hong, CHEN Bo. Research on postoperative early functional exercise in patients with mastoscope-assisted breast cancer surgery[J]. Journal of Clinical Medicine in Practice, 2013, (18): 4-6. DOI: 10.7619/jcmp.201318002

Cited By

Get Citation

PDF

XML

Article views PDF downloads

Turn off MathJax

Article Contents

Abstract

References

Comparison of two surgical methods in the treatment of glaucoma combined with cataract

Abstract

References

Related Articles

Catalog

Comparison of two surgical methods in the treatment of glaucoma combined with cataract

Abstract

References

Related Articles

Catalog

Export File

Citation

Format

Content