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首页> 外文期刊>Nepalese Journal of Ophthalmology >A comparative study of combined small-incision cataract surgery with sutureless trabeculectomy versus trabeculectomy using W-shaped incision
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A comparative study of combined small-incision cataract surgery with sutureless trabeculectomy versus trabeculectomy using W-shaped incision

机译：小切口白内障联合小切口无切口小梁切除术与W形切口小梁切除术的比较研究

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Introduction: Manual small-incision cataract surgery with trabeculectomy is now an acceptable option in the surgical management of combined cataract and glaucoma uncontrolled with maximum tolerated medical therapy. Objective: To compare the results and complications of combined manual small-incision cataract surgery (SICS) and posterior chamber intraocular lens (PCIOL) implantation with trabeculectomy by sutureless versus W-shaped incision technique. Materials and methods: The study included 30 eyes of 28 patients with senile cataract and primary open-angle glaucoma (POAG) who were randomly divided into two groups. The patients in Group A (n = 15) underwent SICS with sutureless trabeculectomy and those in Group B (n =15) underwent SICS with trabeculectomy using W-shaped incision with one suture. Post-operative evaluation was done at the first post-operative day and thereafter on follow-ups at 1 week, 2 weeks, 4 weeks and 8 weeks. Results: The mean preoperative and postoperative intraocular pressure (IOP) in Group A was 27.33 ± 3.35 mmHg and 16.13 ± 4.30 mmHg respectively and in Group B it was 29.46 ± 6.06 mmHg and 14.66 ± 2.69 mmHg respectively. The mean reduction in IOP after 8 weeks of follow-up in Group A was 12.52 ± 3.59 mmHg and that in Group B was 16.47 ± 3.79 mmHg (p <0.001). Besides this, the uncorrected visual acuity (UCVA) was better in Group B postoperatively with less surgically-induced against-the-rule (ATR) astigmatism. Conclusion: Combined SICS with trabeculectomy using W-shaped incision offers better prospective in terms of glaucoma control and visual performance than sutureless combined surgery. Key words: sutureless trabeculectomy; combined surgery; W-shaped trabeculectomy DOI: 10.3126epjoph.v3i1.4272 Nepal J Ophthalmol 2011;3(5):13-18
机译：简介：人工小切口白内障小梁切除术现已成为不受控制的白内障合并青光眼的手术治疗中可接受的选择，且最大程度地耐受了药物治疗。目的：比较无创小切口白内障联合W形切口小梁切除联合人工小切口白内障手术（SICS）和后房人工晶状体（PCIOL）植入的结果和并发症。材料和方法：该研究包括28例老年白内障和原发性开角型青光眼（POAG）患者的30只眼，随机分为两组。 A组（n = 15）的患者行SICS无缝合小梁切除术，B组（n = 15）的患者经SICS小梁切除术采用W形切口一次缝合。术后第一天进行术后评估，然后在1周，2周，4周和8周进行随访。结果：A组的平均术前和术后眼内压（IOP）分别为27.33±3.35 mmHg和16.13±4.30 mmHg，B组为29.46±6.06 mmHg和14.66±2.69 mmHg。随访8周，A组平均眼压降低为12.52±3.59 mmHg，B组为16.47±3.79 mmHg（p <0.001）。除此之外，术后B组的未矫正视敏度（UCVA）更好，而手术引起的反对规则（ATR）散光则更少。结论：与无缝合联合手术相比，SICS联合W形切口小梁切除术在青光眼控制和视觉性能方面具有更好的前瞻性。关键词：无缝小梁切除术联合手术W形小梁切除术DOI：10.3126 / nepjoph.v3i1.4272 Nepal J Ophthalmol 2011; 3（5）：13-18

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