摘要
目的:探讨超声乳化晶状体摘除术治疗闭角型青光眼临床前期、先兆期的疗效。方法:原发性闭角型青光眼临床前期或先兆期患者32例(36眼)行超声乳化晶状体摘除术,对治疗前后的眼压、前房深度、房角形态、视力进行观察对比。随访时间为12mo。结果:在随访期内术后视力较术前有显著提高(P<0.01),房角镜检查术后4个象限房角较术前均显著变宽(P<0.01),术后眼压较术前无显著变化(P>0.05),中央PAC较术前有显著加深(P<0.05)。结论:超声乳化晶状体摘除术对于闭角型青光眼临床前期、先兆期的治疗有较好的效果,并且安全可靠。
AIM： To probe into the clinical effect of phacoemul- sification in the management of angle closure glaucoma in both preclinical and presymptom phases.
METHODS; Thirty-two patients （36 eyes） suffered from primary angle closure glaucoma in the preclinical or presymptom phases were treated with phacoemulsification. The intraocular pressure, anterior chamber depth, configuration of chamber angle and visual acuity were observed and compared. The follow up was 12 months.
RESULTS： During the postoperative follow up, the visual acuity was improved apparently （P 〈 0.01 ）. The postoperative gonioscopy examination showed that the four quadrant chamber angles all broadened markedly （P〈 0.01）. The intraocular pressure changed little （P〉 0.05）. The anterior chamber depth deepened obviously （P〈0.05）.
CONCLUSION： The management of angle closure glaucoma treated by phacoemulsification is effective, safe and credible.
出处
《国际眼科杂志》
CAS
2009年第2期304-305,共2页
International Eye Science
基金
中国湖南省郴州市第一人民医院科研资助项目(No.N2008-043)~~
关键词
超声乳化晶状体摘除术
闭角型青光眼
临床前期
先兆期
phacoemulsification
primary angle closure glaucoma
preclinical phase
presymptom phase
