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Impact of peripheral anterior synechiae on the outcome of combined phacoemulsification, goniosynechialysis and goniotomy for primary angle-closure glaucoma and cataract: a multicenter observational study

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作者：
Lin Fengbin[1] * ; Zhang Yingzhe[1] * ; Zhu Xiaomin[2] * ; Yu Ping[3] * ; Fan Sujie[4] ; Lv Aiguo[4] ; Li Xiaoyan[4] ; Tang Li[5] ; Zhang Yao[5] ; Tang Guangxian[6] ; Yan Xiaowei[6] ; Lu Lan[7] ; Xiao Meichun[7] ; Yuan Huiping[8] ; Song Wulian[8] ; Zhou Minwen[9] ; Zhao Xiaohuan[9] ; Nie Xin[10] ; Liao Mengfei[10] ; Song Yunhe[1] ; Wang Zhenyu[1] ; Chen Weirong[1] ; Barton Keith[11] ; Park Ki Ho[12] ; Aung Tin[13] ; Lam Dennis S C[14] ; Weinreb Robert N[15] ; Tham Clement C[16] ; Zeng Liuzhi[3,*3] ; Xie Lin[2,*3] ; Wang Ningli[17,*2] ; Zhang Xiulan[1,*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, Chengdu First People's Hospital, Chengdu 610095, China. [4]Handan City Eye Hospital (The Third Hospital of Handan), Handan 056001, China. [5]Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu 610041, China. [6]Department of Ophthalmology, Shijiazhuang People's Hospital, Shijiazhuang 050030, China. [7]Department of Ophthalmology, Fujian Medical University Union Hospital, Fuzhou, Fujian Province 350001, China. [8]Department of Ophthalmology, The 2nd Affiliated Hospital, Harbin Medical University, Harbin 150086, China. [9]Department of Ophthalmology, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai 200080, China. [10]Department of Ophthalmology, Chongqing People's Hospital, Chongqing 401121, China. [11]NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, UCL Institute of Ophthalmology, London, UK. [12]Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. [13]Singapore National Eye Centre, Singapore Eye Research Institute, Singapore, Singapore. [14]The International Eye Research Institute, The Chinese University of Hong Kong (Shenzhen), Shenzhen, China. [15]Hamilton Glaucoma Center, Viterbi Family Department of Ophthalmology, Shiley Eye Institute, University of California, San Diego, CA, USA. [16]Department of Ophthalmology & Visual Sciences, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, China. [17]Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
出处：
DOI： 10.1097/IJG.0000000000002435
ISSN：

关键词： peripheral anterior synechiae phacoemulsification goniosynechialysis goniotomy minimally invasive glaucoma surgery primary angle-closure glaucoma

摘要：
To evaluate the impact of the extent of peripheral anterior synechiae (PAS) on the effectiveness and safety of combined phacoemulsification (PEI), goniosynechialysis (GSL), and goniotomy (GT) in eyes with primary angle-closure glaucoma (PACG) and cataract.This study included patients diagnosed with PACG and cataract who underwent combined PEI and 120 degrees GSL plus GT (PEI+GSL+GT) between April 2020 and October 2022 at 10 ophthalmic institutes. Eligible patients were divided into three groups based on the extent of PAS: 180°≤PAS<270°, 270°≤PAS<360°, and PAS=360°. Data on intraocular pressure (IOP), the number of ocular hypotensive medications, and complications were collected and compared. The study defined complete success as postoperative IOP within the 6-18 mmHg range and a 20% reduction from baseline without the use of topical medications. Qualified success was defined in the same way as complete success, but it allowed for the use of ocular hypotensive medications.Three hundred and four eyes of 283 patients were included. The mean follow-up was 12.50±1.24 months. All groups experienced a significant reduction in IOP after the surgery (P <0.05). There were no significant differences in final IOP, number of medications, and cumulative complete and qualified success rates among the three groups (P >0.05). The groups with 270°≤PAS<360°had a higher frequency of hyphema compared to 180°≤PAS<270° (P = 0.044).PEI+GSL+GT has proven to be an effective treatment for PACG with cataract over one year period. However, the outcome was not correlated with preoperative extent of PAS.The combination of phacoemulsification, goniosynechialysis and goniotomy is an effective treatment for primary angle-closure glaucoma patients with cataract, and this is not linked to the extent of preoperative peripheral anterior synechiae.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

基金：
This research was supported by the National Key Research and Development Program of China (grant number: 2022YFC2502800), National Natural Science Foundation of China (grant number: 81670860), Science and Technology Program of Sichuan Province (grant number: 2020YJ0289), Fujian Talent Project (grant number: 0222005), and Chongqing Natural Research Foundation (grant number: 2018jcyjAX0034).
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外文
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中科院(CAS)分区：
出版当年[2023]版：
大类 | 4 区 医学
小类 | 4 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[2022]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[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023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, Chengdu First People's Hospital, Chengdu 610095, China. [17]Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [*1]State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, No.7 Jinsui Road, Guangzhou 510060, China [*2]Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing, China. [*3]Department of Ophthalmology, the Third Affiliated Hospital of Chongqing Medical University, Chongqing 401120, China
推荐引用方式(GB/T 7714)：
Lin Fengbin,Zhang Yingzhe,Zhu Xiaomin,et al.Impact of peripheral anterior synechiae on the outcome of combined phacoemulsification, goniosynechialysis and goniotomy for primary angle-closure glaucoma and cataract: a multicenter observational study[J].Journal Of Glaucoma.2024,33(8):587-593.doi:10.1097/IJG.0000000000002435.
APA：
Lin Fengbin,Zhang Yingzhe,Zhu Xiaomin,Yu Ping,Fan Sujie...&Zhang Xiulan.(2024).Impact of peripheral anterior synechiae on the outcome of combined phacoemulsification, goniosynechialysis and goniotomy for primary angle-closure glaucoma and cataract: a multicenter observational study.Journal Of Glaucoma,33,(8)
MLA：
Lin Fengbin,et al."Impact of peripheral anterior synechiae on the outcome of combined phacoemulsification, goniosynechialysis and goniotomy for primary angle-closure glaucoma and cataract: a multicenter observational study".Journal Of Glaucoma 33..8(2024):587-593

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