直近一年間の累計
アクセス数 : ?
ダウンロード数 : ?
ID 110873
著者
ハタ, ヒロコ Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
ヤマネ, シンタ Yamane Eye Clinic
ハタ, ソウ Hata Eye Clinic
塩田, 洋 Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
primary phacoemulsification
chronic angle-closure glaucoma
primary angle-closure
cataract
laser iridotomy
資料タイプ
学術雑誌論文
抄録
Purpose : To evaluate effects and safety of primary phacoemulsification plus intraocular lens implantation for controlled chronic angle-closure glaucoma (CACG) or primary angle-closure (PAC). Design : Prospective, non-randomized comparative trial. Methods : Two treatment groups were used. The IOL group included the use of phacoemulsification plus intraocular lens (IOL) implantation in 27 eyes. The LI group included treatment by laser iridotomy (LI) in 23 eyes. Intraocular pressure (IOP), numbers of antiglaucoma medications, complications, and corneal endothelial cell counts were examined in each group. Results : In the IOL group, IOP was significantly reduced from a preoperative mean of 14.8±4.2 mmHg to a 6-month-postoperative mean of 10.8±1.6 mmHg (P <.05). However, in the LI group, mean preoperative IOP was 15.5±4.1 mmHg, and the 6-month-postoperative IOP was 14.7±4.7 mmHg (P = .76). In the IOL group, no patient used anti-glaucoma medications 6-month postoperatively, whereas in the LI group, mean number of anti-glaucoma medications was 0.2±0.4 (P <.05). There were no significant differences in preoperative and postoperative corneal endothelial cell counts between IOL and LI groups (P = .39). Conclusions : Primary phacoemulsification plus intraocular lens implantation for controlled CACG or PAC seems to be a safe and effective method in reducing IOP. This procedure might become the first treatment of choice for controlled CACG or PAC with cataract.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
55
3-4
開始ページ
287
終了ページ
291
並び順
287
発行日
2008-08
出版社版DOI
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系