Clinical efficacy and safety of vitrectomy combined with cyclophotocoagulation in treatment of traumatic glaucoma

• Main Authors: Guo-Ning Ye, Peng-Fei Tian, Min Zhang, Su-Yun Yang
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2018-02-01
• Series: Guoji Yanke Zazhi
• Subjects: vitrectomy; cyclophotocoagulation under direct vision; trans-scleral cyclophotocoagulation; traumatic glaucoma
• Online Access: http://www.ijo.cn/cn_publish/2018/3/201803037.pdf

AIM: To analyze the clinical efficacy and safety of vitrectomy combined with cyclophotocoagulation in the treatment of traumatic glaucoma, and to provide an effective treatment for improving the quality of life of patients with traumatic glaucoma.<p>METHODS: Totally 90 patients(90 eyes)with traumatic glaucoma admitted in our hospital from January 2011 to July 2016 were divided into two groups(45 patients in each group)according to different treatment methods. The patients in the observation group underwent vitrectomy combined with cyclophotocoagulation under direct vision; the control group underwent vitrectomy combined with trans-scleral cyclophotocoagulation. We observed the effect of different treatment on visual acuity, intraocular pressure and complication of the two groups. <p>RESULTS: The visual acuity of the observation group was significantly better than that of the control group after treatment(<i>Z</i>=-5.689, <i>P</i><0.05). There was no significant difference on intraocular pressure between the two groups before treatment(<i>P</i>>0.05). The change of decreased intraocular pressure in the observation group was less than that in the contral group after operation(<i>P</i><0.05). After 1a follow-up, there was no significant difference on the change of decreased intraocular pressure between the two groups(<i>P</i>>0.05). The complications of the two groups after treatment were vitreous hemorrhage, choroidal detachment, low intraocular pressure, increased intraocular pressure and other complications, but the complication rate of two groups were no different(<i>χ</i>²=1.553, <i>P</i>=0.213). <p>CONCLUSION: Vitrectomy combined with cyclophotocoagulation under direct vision brings patients better visual acuity than that combined with trans-scleral cyclophotocoagulation.