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| Different Surgical Treatments on Vision Intraocular Pressure Astigmatism and complications in Patients with Glaucoma complicated with Cataract |
| HE Xin, LIU Ning |
| Xinjiang Yili Traditional Chinese Medicine Hospital, Yining Xinjiang 835000, China |
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Abstract Objective: To compare the effects of phacoemulsification (Phaco) combined with trabeculectomy and Phaco combined with goniosynechialysis on vision, intraocular pressure, astigmatism and complications in patients with glaucoma complicated with cataract. Methods: 94 patients with glaucoma and cataract admitted in our hospital from March 2016 to March 2018 were collected. Among them, 49 patients were treated with Phaco combined with trabeculectomy (trabeculectomy group), 45 patients were treated with Phaco combined goniosynechialysis (goniosynechialysis group). The vision improvement, intraocular pressure, anterior chamber depth, anterior chamber angle, astigmatism and complications in the two groups 6 months after surgery were compared. Results: At 6 months after operation, there was no significant difference in visual acuity improvement rate between the two groups (77.55% vs 84.44%) (P>0.05). At 6 months after operation, there was no significant difference in the decrease degree of intraocular pressure and increase degree of anterior chamber depth between the two groups (P>0.05). However, the increase of anterior chamber angle in the goniosynechialysis group was significantly greater than that in the trabeculectomy group (P<0.05). At 6 months after operation, the increase degree of astigmatism and the incidence of complications in the goniosynechialysis group were significantly lower tha those in the trabeculectomy group (P<0.05). Conclusion: Compared with Phaco combined with trabeculectomy, Phaco combined with angle separation has lower astigmatism and fewer complications in the treatment of glaucoma combined with cataract
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2019, Vol. 25 
