摘要
目的探讨白内障超声乳化联合房角分离术治疗闭角型青光眼术后眼压失控合并白内障的价值。方法对合并老年性白内障青光眼术后眼压失控的18例24只眼行白内障超声乳化人工晶体植入联合房角分离术，观察手术前后的视力，眼压、房角及视野的变化。结果术后视力除2例眼底病变外均有大幅提高;平均眼压由术前的（27．3±3．3）mmHg降至术后的（13．6±2．9）mmHg（t=0．19，p〈0．01），术后房角检查较术前有不同程度的开放;视野检查无缩小但视敏度明显提高。结论白内障超声乳化联合房角分离术是治疗合并老年性白内障青光眼术后眼压失控的有效方法，但手术适应症应有一定限制。
Objective To investigate the clinical effect of phacoemulsification combined with goniosychialysis in the management of uncontrolled glaucoma after trabeculectomy coexisting cataract. Methods 18 pations （24 eyes） were treated with phacoemulsification and IOL implantating ,combined with goniosychialysis. The visual acuity, intraocular pressure, anterior chamber angle, visual field were observed. Results After a mean postoperative follow up of 2-26months,the best correct visual acuity of 20 eyes was better than 0.6, the intraocular pressure was reduced from a preoperative mean of （27.3 ± 3.3） mmHg to a postoperative mean of （13.6 ± 2.9） mmHg：The anterior chamber was wider; The visual field had no depression. Conclusions Phacoemnlsification combined with goniosychialysis is an effective surgery for uncontrolled glaucoma after trabeculectomy coexisting cataract.but indication of the surgery should be limited.
出处
《中国实用眼科杂志》
CSCD
北大核心
2007年第1期61-62,共2页
Chinese Journal of Practical Ophthalmology
