摘要
目的讨论超声乳化联合房角分离术治疗闭角型青光眼合并白内障的临床价值。方法本次实验对象选择的时间为2016年9月至2019年9月,实验对象是来我院接受治疗的60例闭角型青光眼合并白内障患者,应用随机数表法将实验对象平分两组,每组均为30例,对患者采用超声乳化联合小梁切除术治疗的患者设定为对照组,对患者应用超声乳化联合房角分离术进行治疗的患者设定为观察组;将裸眼视力与眼压、中央前房浓度与并发症发生率进行对比。结果两组研究对象在术前裸眼视力与眼压、中央前房浓度对比,差异无统计学意义(P>0.05);手术后6个月,观察组的裸眼视力、眼压、中央前方深度等指标好于对照组;观察组患者发生并发症机率为10.00%,而对照组患者并发症的发生机率为33.33%,差异具有统计学意义(P<0.05)。结论闭角型青光眼合并白内障患者在就医时,通过超声乳化联合房角分离术治疗,提高了患者的裸眼视力,其中央前房深度增加,降低了眼压,并且不良反应发生率还很低,其治疗效果明显,具有推广使用价值。
Objective To discus;the clinical value of phacoemulsification combined with angle separation in the treatment of angle closuie glaucoma with cataract.Methods From September 2016 to September 2019,60 patients with angle closure glaucoma and cataract were selected as the subjects of this experiment.The subjects were divided into two groups.30 in each group.The patients who were treated with phacoemulsification combmed with trabeculectomy were set as the control group,and the patients who were treated with phacoemulsification combined with trabeculectomy were treated with phacoemulsification The patients treated with angle separation were set as the observation group,and the naked eve vision was compared with mtraocular pressure,central anterior chamber concentration and the incidence of complications.Results There was no statistical significance between the two group;(P>0.05)in the comparison of preoperative naked eye vision,mtraocular pressure and central anterior chamber concentration;six months after the operation,the indexes of naked eye vision,intraocular pressure and central anterior depth in the observation group were better than those in the control group;the incidence of complications in the observation group was 10.00%,while the incidence of complications in the control group was 33.33%.with statistical significance(P<O.05).Conclusion In the treatment of angle closure glaucoma with cataract,phacoemulsification combined with angle separation can improve the patients'naked vision,increase the depth of the central anterior chamber,reduce the intraocular pressure,and the incidence of advene reactions is very low.The treatment effect is obvious,which has the value of popularization and application.
作者
刘忠岭
刘小宁
LIU Zhong-ling;LIU Xiao-ning(Department of Ophthalmology,Pingdu People's Hospital,Shandong Qingdao,266700,China)
出处
《中华养生保健》
2020年第2期3-5,共3页
CHINESE HEALTH CARE
关键词
超声乳化
房角分离术
闭角型青光眼合并白内障
Phacoemulsification:angle separation
angle-closure Glaucoma with cataract
