2017•Yanwaishang zhiye yanbing zazhiRequires access
Vitreolensectomy combined with cyclophotocoagulation for the treatment of secondary glaucoma associated with traumatic lens luxation
Zhengru Huang, Haiying Chen, Yuan Chen, Xiaoli Xiang, Jian Li
Open publisher page 1 citations
Abstract
Objective
To evaluate the efficacy of pars plana vitreolensectomy combined with cyclophotocoagulation for the treatment of secondary glaucoma associated with traumatic lens luxation.
Methods
The data of 21 eyes of 21 cases with secondary glaucoma associated with traumatic lens luxation were collected and analyzed respectively.Patients received pars plana vitreolensectomy combined with cyclophotocoagulation, and among them 16 eyes combined with scleral fixated-intraocular lens implantation. The follow-up time was 6-18 months. The intraocular pressure (IOP), the number of anti-glaucoma medications, the position of intraocular lens and complications were observed.
Results
The postoperative IOP was significantly decreased(P=0.000). The average number of anti-glaucoma medications was significantly reduced after surgery (P=0.000). The cyclophotocoagulated ciliary processes were atrophied completely and the intraocular lenses were well-positioned. No complication associated with cyclophotocoagulation was observed.
Conclusion
Pars plana vitreolensectomy combined with cyclophotocoagulation is a practicable and safe procedure for secondary glaucoma associated with traumatic lens luxation.
Key words:
Glaucoma, secondary; Luxation, lens, traumatic; Cyclophotocoagulation; Vitreolensectomy, pars plana