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作者

Song, Yunhe MD, PhD Ye, Xiangxiang MD, MSc Yang, Mingmin MD, MSc Zhang, Zhihong MD Zeng, Liuzhi MD Fan, Hanying MD Xie, Lin MD, PhD Zhu, Xiaomin MD Zhang, Hongyang MD, PhD Feng, Yuhan MD Xu, Jiangang MD, PhD Ke, Min MD, PhD Bao, Qing MD, PhD Pan, Xiaojing MD, PhD Ge, Qingshu MD, PhD Lin, Fengbin MD, PhD Yang, Zefeng MD Fang, Zige MD Wang, Zhixuan MD Xiaokaiti, Dilimulati MD Fan, Sujie MD, PhD Fan, Ning MD, PhD Qi, Yongjun MD, MSc Zhang, Xiulan MD, PhD for the ECO study group

作者单位

0">∥Department of Ophthalmology, Chengdu First People’s Hospital, Chengdu 0">‡Shenzhen Eye Hospital, Jinan University, Shenzhen ^0">*State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases 0">¶Department of Ophthalmology, The Third Affiliated Hospital of Chongqing Medical University, Chongqing 0">†Department of Ophthalmology, Guangdong Provencial Hospital of Traditional Chinese Medicine, Zhuhai 0">§Handan City Eye Hospital (The Third Hospital of Handan), Handan 0">**Department of Ophthalmology, Zhongnan Hospital of Wuhan University, Wuhan 0">‡‡The First People’s Hospital of Kashi Prefecture, Kashi, China 0">††Eye Institute of Shandong First Medical University, Qingdao Eye Hospital of Shandong First Medical University, State Key Laboratory Cultivation Base, Shandong Provincial Key Laboratory of Ophthalmology, School of Ophthalmology, Shandong First Medical University, Qingdao 0">#Nanfang Hospital Southern Medical University, Guangzhou

刊名

Journal of Glaucoma

年份

2025

卷号

Vol.34 No.8

页码

591-597

关键词

goniotomy minimally invasive glaucoma surgery phacoemulsification primary open angle glaucoma

摘要

Précis: Phacogoniotomy, a combination of phacoemulsification and intraocular lens implantation and 120-degree goniotomy , was an effective and safe surgical treatment for medically controlled or uncontrolled primary open angle glaucoma with cataract. Purpose: To evaluate the efficacy and safety of PEI combined with 120-degree GT in the treatment of medically controlled or uncontrolled POAG with cataract. Methods: Multicenter observational study conducted in 9 ophthalmic institutes/general hosp...更多

Précis: Phacogoniotomy, a combination of phacoemulsification and intraocular lens implantation and 120-degree goniotomy , was an effective and safe surgical treatment for medically controlled or uncontrolled primary open angle glaucoma with cataract. Purpose: To evaluate the efficacy and safety of PEI combined with 120-degree GT in the treatment of medically controlled or uncontrolled POAG with cataract. Methods: Multicenter observational study conducted in 9 ophthalmic institutes/general hospitals in China. Patients with medically controlled [baseline intraocular pressure ≤21 mmHg] or uncontrolled POAG with clinically significant cataract were included, who were followed up with at least 12 months. The IOP, topical hypotensive medication, surgery complications, visual acuity, surgery success were recorded and compared between groups at baseline and the final visit. Complete surgical success was defined as postoperative IOP of 5–18 mmHg without additional topical medications, vision-threatening complications or reoperation for glaucoma. Qualified success is same as complete success except allowing use of ocular hypotensive medications. Results: One hundred participants with 132 eyes were included with a mean follow-up time of 17.5±5.2 months postoperatively. In general, the mean IOP reduced from 21.2±7.4 mmHg at baseline to 14.7±2.9 mmHg postoperatively , respectively. Conclusion: POAG with cataract could be effectively treated by phacogoniotomy, regardless of medically controlled or medically uncontrolled status at baseline.收起

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