Chinese Medical Sciences Journal ›› 2022, Vol. 37 ›› Issue (2): 127-133.doi: 10.24920/003902
• Original Article • Previous Articles Next Articles
Erqian Wang, Ailing Bian, Yang Zhang, Shunhua Zhang*()
Received:
2021-03-23
Accepted:
2022-03-10
Published:
2022-06-30
Online:
2022-04-28
Contact:
Shunhua Zhang
E-mail:zhangshh@pumch.cn
Erqian Wang, Ailing Bian, Yang Zhang, Shunhua Zhang. Phacoemulsification, Intraocular Lens Implantation, Goniosynechialysis, and Pseudo-Pupilloplasty for Refractory Acute Primary Angle Closure with Atonic Dilated Pupil[J].Chinese Medical Sciences Journal, 2022, 37(2): 127-133.
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Table 1.
Preoperative characteristics of all the included patients"
Patient’s no. | Gender | Age (yrs) | Attack duration (d) | BCVA (logMAR) | IOP (mmHg) | ACD (mm) | Pupil diameter (mm) | CECC (cells/mm2) | AL (mm) |
---|---|---|---|---|---|---|---|---|---|
1 | F | 77 | 3 | 1.31 | 38 | 1.87 | 6.0 | 2415 | 22.55 |
2 | F | 73 | 5 | 1.52 | 54 | 1.90 | 6.5 | - | 21.85 |
3 | F | 62 | 7 | 1.10 | 45 | 1.67 | 6.0 | 2350 | 21.38 |
4 | F | 80 | 10 | 1.00 | 35 | 2.05 | 5.5 | 1980 | 21.35 |
4 | F | 80 | 2 | 0.70 | 38 | 1.95 | 5.5 | 1766 | 21.18 |
5 | F | 78 | 20 | 2.00 | 48 | 1.80 | 5.5 | - | 20.92 |
6 | M | 74 | 7 | 1.00 | 38 | 1.96 | 6.0 | 2100 | 21.83 |
7 | M | 67 | 10 | 2.00 | 49 | 1.89 | 5.5 | 1655 | 22.08 |
8 | F | 67 | 10 | 2.00 | 41 | 1.66 | 5.5 | - | 21.15 |
9 | M | 67 | 11 | 2.00 | 60 | 1.75 | 5.5 | 1890 | 22.40 |
10 | F | 71 | 5 | 1.00 | 36 | 1.95 | 5.5 | 2100 | 21.62 |
11 | M | 72 | 5 | 0.92 | 45 | 1.90 | 5.5 | - | 22.82 |
12 | F | 71 | 16 | 0.52 | 48 | 1.11 | 5.0 | 2153 | 21.06 |
13 | F | 63 | 25 | 1.00 | 40 | 1.72 | 5.5 | - | 22.86 |
14 | F | 64 | 22 | 0.60 | 48 | 1.65 | 5.0 | 2966 | 21.61 |
15 | F | 66 | 13 | 2.00 | 52 | 1.68 | 5.5 | - | 21.68 |
16 | F | 76 | 18 | 1.00 | 35 | 1.82 | 6.0 | 2726 | 22.43 |
17 | F | 47 | 28 | 0.70 | 66 | 1.76 | 6.5 | 1760 | 21.81 |
18 | F | 77 | 26 | 0.30 | 22 | 1.57 | 5.0 | 2252 | 22.21 |
19 | F | 77 | 10 | 0.92 | 42 | 1.75 | 5.0 | 1874 | 21.79 |
Mean±SD | 70.5±7.9 | 12.7±8.0 | 1.18±0.55 | 44.0±9.8 | 1.77±0.21 | 5.6±0.4 | NA | 21.81±0.62 |
Table 2.
Preoperative and postoperative comparisons of BCVA, IOP, and ACD"
Patient’s no. | BCVA (logMAR) | IOP (mmHg) | ACD (mm) | Residual PAS (degree) | Number of medications | |||||
---|---|---|---|---|---|---|---|---|---|---|
Pre | Post* | Pre | Post* | Pre | Post* | |||||
1 | 1.31 | 0.00 | 38 | 14 | 1.87 | 3.49 | 90 | 0 | ||
2 | 1.52 | 0.10 | 54 | 12 | 1.90 | 3.23 | 0 | 0 | ||
3 | 1.10 | 0.10 | 45 | 14 | 1.67 | 3.05 | 150 | 0 | ||
4 | 1.00 | 0.22 | 35 | 15 | 2.05 | 3.56 | 0 | 0 | ||
4 | 0.70 | 0.30 | 38 | 16 | 1.95 | 3.42 | 0 | 0 | ||
5 | 2.00 | 0.00 | 48 | 19 | 1.80 | 3.23 | 180 | 3 | ||
6 | 1.00 | 0.22 | 38 | 20 | 1.96 | 3.35 | 90 | 1 | ||
7 | 2.00 | 0.10 | 49 | 16 | 1.89 | 3.52 | 0 | 0 | ||
8 | 2.00 | 0.22 | 41 | 15 | 1.66 | 3.11 | 90 | 0 | ||
9 | 2.00 | -0.08 | 60 | 17 | 1.75 | 3.48 | 0 | 0 | ||
10 | 1.00 | 0.10 | 36 | 16 | 1.95 | 3.42 | 0 | 0 | ||
11 | 0.92 | 0.00 | 45 | 17 | 1.90 | 3.74 | 60 | 0 | ||
12 | 0.52 | 0.10 | 48 | 14 | 1.11 | 3.57 | 10 | 0 | ||
13 | 1.00 | 0.00 | 40 | 20 | 1.72 | 3.34 | 240 | 1 | ||
14 | 0.60 | 0.22 | 48 | 14 | 1.65 | 3.38 | 120 | 0 | ||
15 | 2.00 | 0.22 | 52 | 10 | 1.68 | 3.29 | 90 | 0 | ||
16 | 1.00 | 0.00 | 35 | 14 | 1.82 | 3.66 | 60 | 0 | ||
17 | 0.70 | 0.10 | 66 | 16 | 1.76 | 3.31 | 60 | 0 | ||
18 | 0.30 | 0.00 | 22 | 17 | 1.57 | 3.62 | 0 | 0 | ||
19 | 0.92 | 0.30 | 42 | 17 | 1.75 | 3.40 | 0 | 0 | ||
Mean±SD | 1.18±0.55 | 0.11±0.11 | 44.0±9.8 | 15.5±2.6 | 1.77±0.21 | 3.40±0.20 | 69±73 | 0.29±0.77 |
Figure 2.
The preoperative and postoperative changes of anterior capsule residue and gradual formation of pseudo-pupil in a 77-year-old female. A. Anterior segment photograph before surgery. B-F. Anterior segment photography at postoperative day 1, month 1, month 3, year 2, and year 3. Note that an oval hole or the pseudo-pupil was completely formed based on the anterior capsule residue at postoperative month 3 (D)."
Figure 3.
Color fundus photograph of the same eye illustrated in Figure 2 taken at postoperative year 2 with Topcon TRC-50DX Fundus Camera (Topcon Corp., Tokyo, Japan). The visualization of posterior pole and midperipheral retina is satisfactory, although the areas at or anterior to equator is obscure, dim, or even invisible."
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