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Analysis of surgical treatment on acute angle closure glaucoma with persistent high intraocular pressure

Objective: This research was aimed to explore the effects of surgical treatment on acute angle closure glaucoma with persistent high Intraocular Pressure (IOP).

Methods: A total of 80 cases (89 eye cases) with acute angle closure glaucoma with persistent high IOP were selected (44 eyes in penetration group while 45 eyes in extraction group). Patients in penetration group were given anterior chamber penetration and trabeculectomy. Patients in extraction group were given vitreous aspiration and trabeculectomy. Treatment effects and treatment safety conditions of patients in two groups were analysed.

Results: Compared with extraction group, there were no significant differences in eye pressure of patients in penetration group before surgery and during hospital discharge, eyesight, functional filter blebs and formation rate of non-functional filter blebs (P>0.05). Complications rate of patients in penetration group was lower than that in the extraction group (P<0.05).

Conclusion: The surgical treatment has an effect on the acute angle closure glaucoma with persistent high intraocular pressure.

Author(s): Ai-jun Tian, Hong Chen, Li-zhen Ma, Dong Han