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首页> 外文期刊>Journal of cataract and refractive surgery >Lens-based glaucoma surgery: Using cataract surgery to reduce intraocular pressure
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Lens-based glaucoma surgery: Using cataract surgery to reduce intraocular pressure

机译：晶状体性青光眼手术：使用白内障手术降低眼压

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摘要

Cataract surgery has been demonstrated to lower intraocular pressure (IOP) in eyes with glaucoma. The evidence is strong in angle-closure patients that cataract surgery improves IOP and dramatically reduces the future risk for IOP spikes and acute attacks. Randomized controlled trials (RCTs) have shown that cataract surgery may be preferable to laser iridotomy or phacotrabeculectomy. The data are so convincing that an RCT has been undertaken to assess whether clear lens extraction may be appropriate following acute attacks and in cases of uncontrolled IOP. The case favoring cataract surgery in open-angle glaucoma (OAG) is more controversial. Impressive IOP reduction has been shown in OAG patients when the patients are stratified by preoperative IOP. The patients with the highest preoperative IOPs have pressure reductions up to 8.5 mm Hg. However, these findings have been criticized for methodological weaknesses. Combining cataract surgery with microinvasive glaucoma surgery in phaco-plus procedures provides further options for lens-based glaucoma surgery. Financial Disclosure No author has a financial or proprietary interest in any material or method mentioned.
机译：白内障手术已被证明可以降低青光眼的眼内压（IOP）。在闭角型患者中有充分的证据表明白内障手术可以改善IOP并显着降低将来IOP尖峰和急性发作的风险。随机对照试验（RCT）表明，白内障手术可能比激光虹膜切开术或超声小梁切除术更为可取。数据如此令人信服，因此已经进行了RCT评估，以评估急性发作后和IOP失控情况下晶状体摘除是否合适。在开角型青光眼（OAG）中支持白内障手术的病例更具争议性。当患者被术前眼压分层时，OAG患者的眼压降低令人印象深刻。术前眼压最高的患者的压力降低可达8.5 mm Hg。但是，这些发现因方法上的缺陷而受到批评。将白内障手术与微创性青光眼手术相结合，在晶状体摘除术中可为基于晶状体的青光眼手术提供更多选择。财务披露没有任何作者对所提及的任何材料或方法有财务或专有利益。

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