primary angle-closure glaucoma with cataract
Conditions
Interventions
control group:trabeculectomy combined phacoemulsficaztion and intraocular lens implantation
experimental group:Ex-PRESS shunt implantation combined phacoemulsficaztion and intraocular lens implantation
Sponsors
Zhongshan Ophthalmic Center, Sun Yat-sen University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. 50 years of age or older, in accordance with the PACG diagnosis standard; 2. lens opacity of eyes; 3. the adhesion of anterior chamber angle was more than 1/2 circle under gonioscopy; 4. pathological excavation of optic disk and defect of field vision; 5. patients agreed to accept the program and signed informed consent; 6. without any contraindications of the surgery or anesthesia.
Exclusion criteria
Exclusion criteria: 1. conjunctival scarring; 2. scar diathesis patients; 3. with rebellious infection from ocular surface; 4. IOP is more than 40mmHg after the use of ocular hypotensive agents; 5. axial length is less than 20mm (B ultrasound); 6. with heavy damage of heart, liver and kidney; heavy gastrointestinal disease; psychosis and diabetes; 7. patients with contraindication of glucocorticoid; 8. after laser operation because of glaucoma and other intraocular surgeries; 9. with secondary reasons: Len induced, neovascular and uveitis; 10. without the tolerance of the surgery and anesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| intraocular pressure;vision; | — |
Secondary
| Measure | Time frame |
|---|---|
| grades of anterior angle;depth of anterior chamber;biometric parameters;corneal endothelial cells;ratio of cup to disc;visual field;retinal nerve fiber layer thinkness;pattern of filtering bleb;complications;adverse event; | — |
Countries
China
Contacts
Public ContactMinbin Yu
Outcome results
None listed