摘要
目的:探讨超声乳化白内障吸除联合房角分离术(Phaco-GSL)治疗闭角型青光眼(ACG)合并白内障疗效及对房角宽度的影响。方法:将我院眼科收治的90例ACG合并白内障患者随机分为Phaco-GSL组和Phaco组,各45例,Phaco组接受Phaco + 人工晶状体植入(IOL)术,Phaco-GSL组接受Phaco + IOL + GSL,比较两组手术前后眼压、降眼压药种类、房角宽度、最佳矫正视力及并发症。结果:两组术后1 d和术后1、3个月眼压均低于术前(P 0.05);两组术前、术后降眼压药种类无显著差异(P 】0.05);Phaco-GSL组手术前后眼压差值及降眼压药种类差值均高于Phaco组(P 0.05);Phaco-GSL组术后出现角膜水肿11例(24.44%),前房微出血2例(4.44%);Phaco组术后出现角膜水肿10例(22.22%);两组均未出现视网膜脱落、后囊破裂等并发症。结论:Phaco-GSL治疗ACG合并白内障疗效确切,能有效降低眼压、开放房角,并改善患者是功能。
Objective: To explore the efficacy of phacoemulsification combined with goniosynechialysis (Pha-co-GSL) on angle-closure glaucoma (ACG) with cataract and its effects on angle of anterior chamber. Methods: 90 patients with ACG and cataract admitted to ophthalmology department of our hospital were randomly divided into Phaco-GSL group and Phaco group, with 45 cases in each group. Phaco group was given Phaco + intraocular lens implantation (IOL), and Phaco-GSL group was given Phaco + IOL + GSL. The intraocular pressure, types of ocular hypotensive agents, angle of anterior chamber, best corrected visual acuity and complications were compared between the two groups before and after surgery. Results: The intraocular pressure in the two groups at 1 d, a month and 3 months after surgery was lower than that before surgery (P 0.05). There were no significant differences in the types of ocular hypotensive agents before and after surgery (P >0.05). The intraocular pressure difference and difference of types of ocular hypotensive agents before and after surgery in Phaco-GSL group were higher than those in Phaco group (P 0.05). There were 11 cases (24.44%) of corneal edema and 2 cases (4.44%) of anterior chamber microbleeds in Phaco-GSL group. There were 10 cases (22.22%) of corneal edema after surgery in Phaco group. There were no complications such as retinal detachment and posterior capsule rupture in the two groups. Conclusions: Phaco-GSL has exact efficacy in the treatment of ACG with cataract, and it can effectively reduce intraocular pressure, open angle, and improve the function of patients. 
出处
《护理学》
2019年第6期397-403,共7页
Nursing Science
