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The Related Factors of Postoperative Choroidal Detachment of Angle-closure Glaucoma Filtration Surgery

Author: LengXue
Tutor: XuShaoLin
School: Jilin University
Course: Clinical
Keywords: Angle-closure glaucoma Choroidal detachment Cyclodialysis Filtration surgery
CLC: R779.6
Type: Master's thesis
Year: 2011
Downloads: 25
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Abstract


Objective: (1) investigate the angle-closure glaucoma filtration surgery with preoperative choroidal detachment secondary to the presence cyclodialysis correlation for angle-closure glaucoma filtration surgery secondary to choroidal detachment prevention, detection and treatment to provide a theoretical basis, effectively reduce the incidence of complications; (2) further evidence of ultrasound biomicroscopy (UBM, Ultrasound biomicroscopy) in glaucoma clinical application value. Methods: A retrospective analysis of November 2007 - January 2010 at the Second Hospital of Jilin University, department treated glaucoma trabeculectomy parallel treatment 502 cases (632) in patients with angle-closure glaucoma clinical data, 236 males female 266 cases, aged 50-80 years, an average of (65.85 ± 6.11) years old. Of which 311 cases (407) of acute angle-closure glaucoma (AACG), accounting for 64.4%; 191 cases (225) of chronic angle-closure glaucoma (CACG), accounting for 35.6%. (1) According to AACG group and CACG groups filtration surgery choroidal detachment secondary to the number of cases for statistical analysis. (2) According to AACG group and CACG groups filtration preoperative cyclodialysis the number of cases for statistical analysis. (3) under (a) (2) carried x2 test data, derived from the analysis of angle-closure glaucoma filtration surgery with preoperative choroidal detachment secondary to the presence cyclodialysis if relevant. (4) 502 cases (632) in patients with angle-closure glaucoma secondary to postoperative choroidal detachment 29 cases (30) patients in group A, while hospitalized during the same period were randomly selected row after trabeculectomy but did not continue 30 cases of choroidal detachment hair (35) angle-closure glaucoma patients in group B for the control group. The two groups AB gender, age distribution, preoperative central anterior chamber depth, preoperative intraocular pressure, IOP and postoperative IOP decrease for statistical analysis. Results: (1) CACG filtration surgery secondary to the high incidence of choroidal detachment in AACG, the difference was statistically significant (P lt; 0.05). (2) AACG filtration preoperative cyclodialysis high incidence in CACG, a statistically significant difference (P lt; 0.05). (3) the AACG group of patients with preoperative ciliary body detachment secondary to choroidal detachment after filtration the number of χ2 eye test, statistical results obtained P gt; 0.05 that the difference was not statistically significant, AACG filter Over postoperative choroidal detachment secondary to preoperative cyclodialysis with no correlation. (4) The CACG patients with preoperative ciliary body detachment secondary to choroidal detachment after filtration the number of χ2 eye test, statistical results obtained P lt; 0.05 considered statistically significant, CACG filter Over postoperative choroidal detachment secondary to the preoperative presence cyclodialysis relevant. (5) A group of age distribution than the B group, the difference was statistically significant (p lt; 0.05), being older, filtration surgery secondary to the higher incidence of choroidal detachment. (6) A group mean preoperative central anterior chamber depth (ACD) lower than that in group B, the difference was statistically significant (p lt; 0.05), illustrate the more shallow anterior chamber, the more likely secondary to postoperative choroidal detachment. (7) A group of preoperative IOP higher than group B, the difference was statistically significant (p lt; 0.05); A group before and after filtration surgery IOP decrease than in group B, the difference was statistically significant (p lt; 0.05), explain the higher preoperative IOP, after filtration surgery, the greater the decrease in intraocular pressure, the more likely secondary to postoperative choroidal detachment. (8) postoperative choroidal detachment secondary to conservative treatment in patients with full recovery. Conclusions: (1) filtration surgery secondary to choroidal detachment is a combination of factors led to the complex pathological processes. (2) The higher preoperative IOP, the greater the decrease in post-operative intraocular pressure, the greater the likelihood of secondary choroidal detachment. (3) chronic angle-closure glaucoma filtration surgery with preoperative choroidal detachment secondary to the presence cyclodialysis relevant. (4) acute angle-closure glaucoma preoperative cyclodialysis high incidence of chronic angle-closure glaucoma; postoperative choroidal detachment secondary to lower incidence of chronic angle-closure glaucoma. (5) filtration surgery secondary to choroidal detachment with I ~ II Class shallow anterior chamber of conservative treatment should be the preferred treatment.

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CLC: > Medicine, health > Ophthalmology > Eye surgery and surgery
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