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首页> 外文期刊>Cureus. >Five-Year Outcomes of Trabeculectomy and Phacotrabeculectomy
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Five-Year Outcomes of Trabeculectomy and Phacotrabeculectomy

机译：Trabeculectomy和phacotraBececectomy的五年结果

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Purpose The purpose of this study is to examine five-year outcomes of trabeculectomy and compare the stand-alone procedure when combined with phacoemulsification. Patients and methods This study included?123 eyes of 109 patients, with 79 patients in the trabeculectomy group and 44 patients in the phacotrabeculectomy group. Non-randomized comparative cohort study with data collected retrospectively from an existing database compiled by a single surgeon operating in Sydney, Australia from 2007 to 2019. The primary outcome measure was intraocular pressure. Secondary outcome measures were a number of glaucoma medications, treatment success rates, best-corrected visual acuity, bleb morphology, post-operative complications, and re-operation rate. Results The mean intraocular pressure was 10.6 ± 2.7 mm Hg in the trabeculectomy group (pre-operative mean intraocular pressure of 28.0 ± 9.8) and 12.0 ± 3.0 mm Hg in the phacotrabeculectomy group (pre-operative mean intraocular pressure of 23.4 ± 7.9) after five years (P = 0.052). The number of glaucoma medications required was 0.3 ± 0.7 in the trabeculectomy group (pre-operative mean of 3.7 ± 1.1) and 1.3 ± 1.2 in the phacotrabeculectomy group (pre-operative mean of 3.1 ± 1.0, P 0.001). Conclusions Intraocular pressure reduction post-operatively over five years was similar between trabeculectomy and phacotrabeculectomy as determined by mean intraocular pressure, and intraocular pressure reduction from baseline. However, fewer supplemental glaucoma medications were required following trabeculectomy as compared to the combined procedure.
机译：目的本研究的目的是研究三年的三轴切除术的结果，并在结合沉重乳化时比较独立的程序。患者和方法本研究包括109名患者123只患者，在Trabeculectomy组中有79名患者，44名患者在PhacotraBeCelectomy组中。非随机的比较队列与从2007年到2019年澳大利亚在澳大利亚悉尼的单个外科医生编制的现有数据库收集的数据。主要结果措施是人工压力。次要结果措施是许多青光眼药物，治疗成功率，最佳矫正视力，BLEB形态，术后并发症和重新运营率。结果平均的眼内压力在Thabeculectomy基团中为10.6±2.7mm Hg（术前的28.0±9.8）和12.0±3.0mm Hg的phacotrabeculectomy组（预次均衡的均值的眼压为23.4±7.9）五年（P = 0.052）。需要的青光眼药物的数量为Thabeculectomy基团的0.3±0.7（3.7±1.1）和1.3±1.2的phacotrabececectomy基团（术前均值为3.1±1.0，p <0.001）。结论在术后5年后的眼压减压在通过平均眼压力和基线的眼压减压和基线中的眼压降低之间的三轴切除术和PhacoTraBeceCelectomy之间具有相似性。然而，与组合程序相比，在三轴切除术后需要更少的补充青光眼药物。

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