Kahook Dual Blade Excisional Goniotomy and Goniosynechialysis Combined With Phacoemulsification for Angle-closure Glaucoma: 6-Month Results
Kahook Dual Blade Excisional Goniotomy and Goniosynechialysis Combined With Phacoemulsification for Angle-closure Glaucoma: 6-Month Results
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DOI：
10.1097/ijg.0000000000001256
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发表时间：
2019-07-01
影响因子：
2
通讯作者：
Tam, Mai Dang
中科院分区：
文献类型：
--
作者：
Dorairaj, Syril;Tam, Mai Dang
目的：本研究的目的是确定闭角型青光眼和白内障患者接受超声乳化联合 Kahook 双刀片辅助房角分离术和房角切除术后眼压 (IOP) 的降低情况以及降眼压药物的需求。方法：在这项回顾性介入病例系列中，通过 6 个月的随访收集了 24 名受试者的 42 只眼睛的术前、术中和术后数据。结果包括平均 IOP 降低、降低 IOP 药物的减少，以及实现 IOP 降低 >= 20%（IOP = 1 种药物）的患者比例。结果：术前，平均 (SE) IOP 为 25.5 (0.7) mm Hg，平均每只眼使用的降 IOP 药物数量为 2.3 (0.1) 种。通过 6 个月的随访，平均 IOP 降低 10.1 至 12.8 mm Hg（38.4% 至 49.5%；P
Purpose: The purpose of this study was to characterize reductions in intraocular pressure (IOP) and the need for IOP-lowering medications following phacoemulsification combined with Kahook Dual Blade-assisted goniosynechialysis and excisional goniotomy in eyes with angle-closure glaucoma and cataract. Methods: In this retrospective, interventional case series, preoperative, operative, and postoperative data were collected through 6 months of follow-up from 42 eyes of 24 subjects. Outcomes included mean IOP reduction, reduction in IOP-lowering medications, and the proportion of patients achieving IOP reduction >= 20%, IOP = 1 medication. Results: Preoperatively, mean (SE) IOP was 25.5 (0.7) mm Hg and the mean number of IOP-lowering medications used was 2.3 (0.1) per eye. Through 6 months of follow-up, mean IOP reductions of 10.1 to 12.8 mm Hg (38.4% to 49.5%; P