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Ngày xuất bản: 18/04/2023
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DOI: https://doi.org/10.51298/vmj.v525i1.5063
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Tập 525 Số 1 (2023): Vietnam Medical Association
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Van Ket, T., Thu Huong, N. ., & Quoc Tung, M. . (2023). EVALUATION THE EFFECTIVENESS OF PHACOEMULSIFICATION COMBINED WITH GONIOSYNECHIALYSIS IN TREATMENT OF CHRONIC PRIMARY ANGLE-CLOSURE GLAUCOMA WITH CATARACT. Tạp Chí Y học Việt Nam, 525(1). https://doi.org/10.51298/vmj.v525i1.5063

EVALUATION THE EFFECTIVENESS OF PHACOEMULSIFICATION COMBINED WITH GONIOSYNECHIALYSIS IN TREATMENT OF CHRONIC PRIMARY ANGLE-CLOSURE GLAUCOMA WITH CATARACT

Van Ket Tran1,, Thu Huong Nguyen 2, Quoc Tung Mai 3
1 Saigon Eye Hospital - Can Tho
2 Ha Dong Eye Hospital
3 Department of Ophthalmology – Hanoi Medical University

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Tóm tắt

Objectives: To evaluate the results of phacoemulsification combined with goniosynechialysis on chronic primary angle-closure glaucoma (PACG) with cataract and to demonstrate the factors related to surgical results. Subjects and methods: A prospective descriptive study with no control was conducted on a total of 30 eyes from 27 PACG patients with cataracts, which underwent phacoemulsification combined with goniosynechialysis in Ha Dong Eye Hospital since February 2019 to September 2019. Results: Among 27 patients with 30 eyes in the study group, the absolute success rate was 86.7% and the relative success rate was 13.3%, while there were no patients with treatment failure. Visual acuity increased from 1.01 ± 1.01 before surgery to 0.37 ± 0.94 after surgery. Intraocular pressure decreased from 29.56 ± 3.02 mm Hg to 18.37 ± 2.65 mm Hg.  Synechiae decreased from 227.9° ± 34.5° to 46.6° ± 4.5° after 1 month and 54.7°± 8.1° after 3 months.  No serious complication was reported, most common complication was anterior chamber exudate (20%) which responded well to treatment and didn’t affect surgical results. Factors related to surgical results included time of disease detection less than 1 year had a success rate 7 times higher than disease detection over 1 year; eyes with anterior chamber angle <180° before surgery had an absolute success rate 2.15 times higher than eyes with anterior chamber angle >180° before surgery. Conclusions: Phacogoniosynechialysis is an effective and safe surgical option for chronic PACG with cataracts.

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Từ khóa

phacogoniosynechialysis, glaucoma, cataracts.

Tài liệu tham khảo

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