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Date Published: 24/03/2023
Abstract Views: 231
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DOI: https://doi.org/10.51298/vmj.v524i1B.4716
Issue
Vol. 524 No. 1B (2023)
Section
Các bài báo
How to Cite
Đỗ , T. ., & Nguyễn, T. N. . (2023). LONG TERM RESULT OF SURGICAL IRIDECTOMY ASSOCIATED WITH PERIPHERAL IDRIDOPLASTY IN TREATING MEDICALLY UNRESPONSIVE ACUTE PACG. Vietnam Medical Journal, 524(1B). https://doi.org/10.51298/vmj.v524i1B.4716

LONG TERM RESULT OF SURGICAL IRIDECTOMY ASSOCIATED WITH PERIPHERAL IDRIDOPLASTY IN TREATING MEDICALLY UNRESPONSIVE ACUTE PACG

Tấn Đỗ 1,, Thị Nương Nguyễn2
1 National Institute of Ophthalmology
2 Vietnam Military Medical Academy

Main Article Content

Abstract

Objective: To evaluate 3-year results of the combined method of peripheral iridotomy and laser iridoplasty (IP) in the treatment of acute primary angle-closure glaucoma unresponsive to medical therapy with no significant cataracts. Subjects and methods: A retrospective and cross-sectional study at 3 years on 28 eyes of 25 patients with confirmed acute primary angle-closure glaucoma who received laser iridoplasty combine with iridectomy and were followed up at 3 research facilities. Results: Average LogMAR visual acuity after 3 years was 0.58±0.44, mean IOP after 3 years was 13.66±3.74 mmHg, the complete success rate of IOP control was 82.14%, the partial success rate was 7.14%, and the failure rate was 10.71%. The mean anterior chamber angle width after 3 years was 1.39±0.72, mean cup-to-disc ratio was 0.55±0.18, significantly increased compared to 1 year after the intervention. Conclusion: Iridectomy combined with laser iridoplasty has long-term effectiveness in lowering intraocular pressure, helping to prevent the progression of glaucoma and preserving the patient's visual function.

Article Details

Keywords

Acute PACG, surgical iridectomy, laser peripheral iridoplasty

References

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