摘要
目的探讨多联手术治疗晶状体悬韧带松弛继发急性闭角型青光眼的临床疗效。方法回顾性病例研究。2012年3月至2014年5月在河北省眼科医院白内障科就诊的晶状体悬韧带松弛继发急性闭角型青光眼患者23例（23眼）,采用微切口囊袋内预劈核超声乳化联合张力环植入、前部玻璃体切割和房角分离术进行治疗。术后随访观察最佳矫正视力、眼压、前房深度以及前囊收缩情况、后囊膜混浊程度、人工晶状体的居中性。结果术后3个月最佳矫正视力〉0.6-1.0者8眼,〉0.3-0.6者12眼,0.1-0.3者3眼。术后3个月最佳矫正视力较术前增加,差异有统计学意义（t=36.225,P〈0.01）。所有患者术后1 d眼压均下降至正常,为10.3-16.5（14.2±1.9）mm Hg（1 k Pa=7.5 mm Hg）,与术前相比差异有统计学意义（t=27.902,P〈0.01）。术后随访3个月,未见眼压明显波动。术中未出现灌注液迷流综合征,术后未发生恶性青光眼。术后3个月所有患者人工晶状体居中性良好,未出现囊袋收缩、后发性白内障等并发症。结论采用多联手术治疗晶状体悬韧带松弛继发急性闭角型青光眼可以取得满意的疗效。
Objective To explore the clinical efficacy of the multi-surgery treatment for secondary acute angle-closure glaucoma due to zonular laxity of the lens. Methods Retrospective case study. This study was comprised of 23 cases（ 23 eyes） with secondary acute angle-closure glaucoma due to zonular laxity of the lens from March 2012 to May 2014 in our hospital. All patients underwent micro-incision and pre-chop phacoemulsification with the capsular tension ring implantation,combined with anterior vitrectomy and lysis of goniosynechiae. The postoperative best corrected visual acuity,intraocular pressure（ IOP） and anterior chamber depth were observed,and the capsular contraction syndrome,posterior capsule opacification and intraocular lens dislocation were also observed. R esults The postoperative best corrected visual acuity in 8 eyes was ≥ 0. 6- 1. 0,12 eyes was ≥ 0. 3- 0. 6,and 3eyes was ≥0. 1- 0. 3. All the postoperative best corrected visual acuities were improved at 3months after surgery,there was statistical difference compared with pre-operation（ t = 36.225,P 〈0. 01）. All of the IOP were down to normal on the 1 st day after surgery,which was10. 3- 16. 5（ 14. 2 ± 1. 9） mm Hg（ 1 k Pa = 7. 5 mm Hg）,there was statistical difference compared with pre-operation（ t = 27. 902,P 〈0. 01）. No IOP was increased within 3months after surgery. The complications such as the infusion misdirection syndrome,malignant glaucoma,intraocular lens dislocation,capsular contraction syndrome,posterior capsule opacification were not appeared. Conclusion The multi-surgery for secondary acute angleclosure glaucoma due to zonular laxity of lens can get good treatment effects.
出处
《眼科新进展》
CAS
北大核心
2016年第5期453-456,共4页
Recent Advances in Ophthalmology
基金
邢台市科技计划项目(编号:2015ZC099)~~
