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Outcomes of Partial Versus Complete Goniotomy With or Without Phacoemulsification for Primary Open Angle Glaucoma: A Multicenter Study

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Pubmed体系：

收录情况： ◇ SCIE

作者：
Song Yunhe[1] * ; Zhu Xiaomin[2] * ; Zhang Yao[3] * ; Shu Jing[4] * ; Dang Guangfu[5] ; Zhou Wenzong[6] ; Sun Lu[5] ; Li Fei[1] ; Lin Fengbin[1] ; Zhang Yingzhe[1] ; Liang Xiaohong[1] ; Wang Zhenyu[1] ; Zhang Yi[3] ; Zhang Yu[1] ; Chen Weirong[1] ; Zeng Liuzhi[4,*1] ; Tang Li[3,*3] ; Xie Lin[2,*2] ; Lam Dennis Sc[7] ; Wang Ningli[8] ; Barton Keith[9] ; Weinreb Robert N[10] ; Zhang Xiulan[1,*1] ; for the PVP study group[1] ;
机构： [1]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, Guangzhou 510060, China. [2]Department of Ophthalmology, the Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China. [3]Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan Province 610041, China. [4]Department of Ophthalmology, Chengdu First People's Hospital. [5]Department of Ophthalmology，The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital. [6]Cangzhou Aier Eye Hospital, Aier Eye Hospital Group. [7]C-MER (Shenzhen) Dennis Lam Eye Hospital, International Eye Research Institute of The Chinese University of Hong Kong (Shenzhen), Shenzhen, China. [8]Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [9]NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, UCL Institute of Ophthalmology, London, UK. [10]Hamilton Glaucoma Center, Viterbi Family Department of Ophthalmology, and Shiley Eye Institute, University of California San Diego, La Jolla, CA, USA.
出处：
DOI： 10.1097/IJG.0000000000002210
ISSN：

关键词： goniotomy phacoemulsification minimally invasive glaucoma surgery primary open-angle glaucoma

摘要：
120° goniotomy with or without phacoemulsification was sufficient to lower the intraocular pressure and reduce hyphema for primary open-angle glaucoma.To compare the surgical outcomes and safety profiles of 120° and 360° goniotomy (GT) with or without phacoemulsification cataract extraction and intraocular lens implantation (PEI) for primary open-angle glaucoma (POAG).This multicenter retrospective study consisted of 139 eyes and were divided into four groups: (1) 120° GT, (2) 360° GT, (3) PEI+120° GT, and (4) PEI+360° GT. Intraocular pressure (IOP), number of topical hypotensive medications, and complications were recorded and evaluated at baseline and at the final visit. The complete and qualified success rate and their potential associated factors were also investigated. The effectiveness and safety profile of the surgery were compared between different subgroups.After a mean follow-up of 8.6 months, the IOP reduction was 13.2±8.3 (38.8±28.8%), 12.4±8.3 (41.6±18.2%), 12.8±9.9 (39.4±34.5%), and 13.8±7.2 (46.0±17.1%) mmHg in 120°, 360°, PEI+120°, and PEI+360° GT, respectively. No significant difference was found in IOP, decline of IOP from baseline, topical hypotensive medication, and complete or qualified success between either standalone 120° vs 360° GT, or PEI+120° vs PEI+360° GT (all Ps>0.05). The PEI+120° group had a lower final IOP than the 120° GT group (P=0.0002) whereas there was no difference between PEI+360°GT and 360° GT group (P=0.893). Both 360° GT and PEI+360° groups had a significantly higher incidence of hyphema than the 120° GT and PEI+120° GT groups (all Ps<0.0001).Goniotomy of 120 or 360 degrees lowered IOP equally with or without cataract surgery, and hyphema was most commonly noted following complete goniotomy. Partial goniotomy alone or in combination with cataract surgery was an effective and safe approach to manage patients with open angle glaucoma.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

基金：
Science and Technology Program of Guangzhou, China (202201020362); the National Natural Science Foundation of China (81670860); Chongqing Natural Research Foundation (No.cstc2018jcyjAX0034), and in part, by Project of Chengdu Science and Technology Bureau (No. 2021-YF05-00649-SN)
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外文
被引次数：
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PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类 | 3 区 医学
小类 | 3 区 眼科学
最新[2023]版：
大类 | 4 区 医学
小类 | 4 区 眼科学
JCR分区：
出版当年[2021]版：
Q3 OPHTHALMOLOGY
最新[2023]版：
Q2 OPHTHALMOLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者：
第一作者机构： [1]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, Guangzhou 510060, China.
共同第一作者：
通讯作者：
通讯机构： [1]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, Guangzhou 510060, China. [2]Department of Ophthalmology, the Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China. [3]Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan Province 610041, China. [4]Department of Ophthalmology, Chengdu First People's Hospital. [*1]State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-Sen University, No.7 Jinsui Road, Guangzhou 510060, China [*2]Department of Ophthalmology, the Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China [*3]Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu, Sichuan Province 610041, China
推荐引用方式(GB/T 7714)：
Song Yunhe,Zhu Xiaomin,Zhang Yao,et al.Outcomes of Partial Versus Complete Goniotomy With or Without Phacoemulsification for Primary Open Angle Glaucoma: A Multicenter Study[J].JOURNAL OF GLAUCOMA.2023,32(7):563-568.doi:10.1097/IJG.0000000000002210.
APA：
Song Yunhe,Zhu Xiaomin,Zhang Yao,Shu Jing,Dang Guangfu...&for the PVP study group.(2023).Outcomes of Partial Versus Complete Goniotomy With or Without Phacoemulsification for Primary Open Angle Glaucoma: A Multicenter Study.JOURNAL OF GLAUCOMA,32,(7)
MLA：
Song Yunhe,et al."Outcomes of Partial Versus Complete Goniotomy With or Without Phacoemulsification for Primary Open Angle Glaucoma: A Multicenter Study".JOURNAL OF GLAUCOMA 32..7(2023):563-568

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