摘要
目的:观察超声乳化吸除联合多次房角分离术治疗白内障合并原发性急性闭角型青光眼的临床疗效。方法:回顾性分析我院临床诊断的34例42眼急性闭角型青光眼合并白内障患者,均行白内障超声乳化联合多次房角分离及人工晶状体植入术,随访3mo^1a,观察记录手术前后视力、眼压、房角变化及并发症情况,比较手术疗效。结果:术后最佳矫正视力提高36眼(86%)。术后1wk,有2眼眼压仍高于25mm Hg,其余患者的眼压在11~20(平均14.6±5.7)mm Hg。手术前后眼压比较差异有统计学意义(P<0.05)。术后前房角关闭范围>180°的例数显著低于术前(P<0.05)。结论:超声乳化白内障吸除联合多次房角分离治疗闭角型青光眼安全有效,能显著改善房角开放程度,降低眼压并提高术后视力。
AIM：To observe the clinical effect of phacoemulsification combined with goniosynechialysis in the treatment of primary acute angle-closure glaucoma with cataract.METHODS：A retrospective analysis included of 34 cases（42 eyes） diagnosed as primary angle-closure glaucoma with cataract in our hospital.The patients were treated with phacoemulsification combined with goniosynechialysis and intraocular lens implantation.Preoperative and postoperative visual acuities,intraocular pressure（IOP）,chamber angle changes and complications were recorded with following- up for 3mo- 1a.The clinical effect was compared between before and after treatment.RESULTS：Best corrected visual acuity was improved in36 eyes（86%） after operation.The IOP of 2 eyes was above 25 mm Hg after operation 1wk,and the rest was controlled in 11 -20mmHg,the average level（14.6±5.7）mmHg.There were statistical differences at pre- and post-operation（P〈 0.05）.The postoperative cases of the anterior chamber angle closure of more than 180° were significantly lower than that of the preoperative（P〈0.05）.CONCLUSION：Phacoemulsification combined with multiple goniosynechialysis in the treatment of angle-closure glaucoma patients with cataract is safe,convenient,and effective.It can significantly open anterior chamber angle,reduce IOP,and improve visual acuity.
出处
《国际眼科杂志》
CAS
2015年第8期1438-1440,共3页
International Eye Science
