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- W2365892022 abstract "Objective To compare the safety and efficacy of coaxial microincision and standard incision phacoemulsification for cataract after primary angle closure glaucoma(PACG) filtering surgery.Methods Forty-six cases(46 eyes) with cataracts after PACG filtering surgery were prospectively comprised in this study.All cases were divided into two groups randomly.Study group(2.2 mm coaxial microincision) included 26 cases.Control group 1(3.0 mm incision) included 20 cases.Control group 2(2.2 mm coaxial microincision,age related cataract) included 50 cases.All cases were received torsional mode phacoemulsification.Preoperative measurements included cataract nuclear grade,best correct visual acuity(BCVA),intraocular pressure(IOP),central anterior chamber depth(ACD),lens thickness(LT),endothelial cell count(ECC) and axial length(AL).Intraoperative measurements included cumulative dissipated energy(CDE) and estimated fluids used(EFU).Postoperative measurements at 1 day,7 days and 30 days included BCVA,IOP and corneal edema.Results The cataract nucleuses in all patients were mainly in grade Ⅲ.The ACD and AL in study group werelower than in control group 2,there were significant differences(both P = 0.00).The LT in study group were higher than that in control group 2,there was no statistical difference(P = 0.07).The CDE and EFU in study group were lower than that in control group 1,there was statistical difference(P 0.05).The percentages of BCVA more than 0.5 at 1 day after operation in study group and control group 1 were 38.5% and 20.0%,but there was no statistical difference(P = 0.11).The corneal edema at 1 day after operation in study group and control group 1 were mainly in grade 1 and grade 2,respectively,there was statistical difference(P = 0.03).ECC at 30 days after operation were all lower than that before operation,the reduction of study group,control group 1 and 2 were 38.9%,52.5% and 9.8%,there was significant difference in ECC reduction between study group and control group 1 before and after operation(P = 0.00).Conclusion The coaxial microincision phacoemulsification has well anterior chamber stability,can reduce the CDE,EFU and ECC,shorten the surgical time and yield the good visual outcomes,indicating the value of coaxial microincision in emulsifying cataracts after glaucoma filtering surgery." @default.
- W2365892022 created "2016-06-24" @default.
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- W2365892022 date "2012-01-01" @default.
- W2365892022 modified "2023-09-25" @default.
- W2365892022 title "Coaxial microincision phacoemulsification for cataract after glaucoma filtering surgery" @default.
- W2365892022 hasPublicationYear "2012" @default.
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