Effectiveness of surgical management of malignant glaucoma in phakic eyes  

作　　者：Qi-Wei WangCheng-Guo Zuo Jing Li Xiao-Shan Lin Wan Chen Qiao-Lin Zhu Feng-Qi Zhou Hao-Tian Lin Wei-Rong Chen 

机构地区：[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,Guangdong Province,China [2]New England College of Optometry,Boston,MA 02115,USA

出　　处：《International Journal of Ophthalmology(English edition)》2022年第1期65-70,共6页国际眼科杂志（英文版）

基　　金：Supported by the National Natural Science Foundation of China(No.81700812)。

摘　　要：AIM:To assess the effectiveness of core vitrectomyphacoemulsification-intraocular lens(IOL)implantationcapsulo-hyaloidotomy in treating phakic eye at least 1 mo after the onset of malignant glaucoma.METHODS:A retrospective analysis were performed on malignant glaucoma patients treated in Zhongshan Ophthalmic Center between 2016 and 2018.Demographic and clinical data were described.The preoperative and postoperative visual acuity(VA),intraocular pressure(IOP),number of IOP-lowering medications used,and anterior chamber depth(ACD)of the case series were compared by Wilcoxon signed-rank test.RESULTS:Thirteen phakic eyes with long time intervals between onset and surgery were identified in this case series.Core vitrectomy-phacoemulsification-IOL implantation-capsulohyaloidotomy reduced the IOP(P=0.046)and the number of IOP-lowering medications used(P=0.004),deepened the ACD(P=0.005).Complete success was achieved in 38.5%of the eyes,and anatomical success was achieved in 100%of the eyes without any recurrence.The only postoperative complication observed is corneal endothelial decompensation.It occurred in two cases.CONCLUSION:Core vitrectomy-phacoemulsification-IOL implantation-capsulo-hyaloidotomy is safe and effective for treatment of long onset phakic malignant glaucoma.

关 键 词：PHAKIC malignant glaucoma surgical management long time interval 

分 类 号：R73[医药卫生—肿瘤]