摘要
目的 研究闭角型青光眼合并老年性白内障行超声乳化白内障吸除、人工晶状体植入及小梁切除术(三联手术)的临床疗效.方法 回顾性系列病例研究.选取2009年9月至2012年9月就诊于辽宁省东港市中心医院眼科的闭角型青光眼合并老年性白内障患者42 例,采用三联手术治疗.术后随访6个月,观察患者术后视力、眼压及并发症的发生情况.计量资料比较采用配对t检验,计数资料比较采用χ2检验.结果 患者术后19只眼矫正视力≥0.5,18只眼矫正视力0.3～0.5,5只眼矫正视力≤0.3;术后眼压较术前显著降低(t=15.98,P＜0.05).术后视力比术前显著提高,差异有统计学意义(χ2=42.52,P＜0.05).术前平均眼压为(39.19±9.49)mm Hg(1 mm Hg=0.133 kPa),术后平均眼压为(15.14±3.22) mm Hg;术中、术后未发现严重并发症.结论 闭角型青光眼合并老年性白内障采用三联手术治疗,安全、经济、有效.
Objective To observe the therapeutic effect of phacoemulsificati,poste chamber intraocular lens implantation and trabeculectomy( triple surgery) in the treatment of angle closure glaucoma combined with cataract. Methods It was a retrospective case series study. Forty-two patients with angle closure glaucoma combined with cataract from Sep. 2009 to Sep. 2012 in Donggang Central hospital were treated by triple surgery and followed by 6 months to observe the vision,intraocular pressure and complications. Measurement data was analysed by paired t test and enumeration data was analysed by chi-square test. Difference was statistically significant when P < 0. 05. Results Postoperative visual acuity improved significantly( χ2= 42. 52,P < 0. 05). The corrected visual acuity was equal or better than 0. 5 in nineteen cases while it was 0. 3 to 0. 5 in eighteen cases and was equal or lower than 0. 5 in nineteen cases.Intraocular pressure was significantly reduced after surgery( t = 15. 98,P < 0. 05). The average intraocular pressure was( 39. 19 ± 9. 49) mm Hg before surgery and( 15. 14 ± 3. 22) mm Hg after surgery. Conclusion Triple surgery is safe,effective and ecnomical in treating angle closure glaucoma with cataract.
出处
《中华眼科医学杂志（电子版）》
2012年第3期157-159,共3页
Chinese Journal of Ophthalmologic Medicine(Electronic Edition)
