中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2011年
8期
603-605
,共3页
超声乳化手术%前房角分离术%青光眼,闭角型,慢性%白内障
超聲乳化手術%前房角分離術%青光眼,閉角型,慢性%白內障
초성유화수술%전방각분리술%청광안,폐각형,만성%백내장
Glaucoma%Cataract%Phacoemulsification
目的 观察超声乳化人工晶体植入联合前房角粘连分离术治疗慢性闭角型青光眼合并白内障的效果。方法 超声乳化术联合前房角粘连分离术联合人工晶状体植入三联术治疗闭角型青光眼合并白内障26例(33眼)。对其手术前后的视力、眼压、视野、中央前房深度、房角形态进行对照观察。结果 术后随访3 ～36个月,视力均较术前明显提高(P＜0.05)。术后中央前房深度均加深(P＜0.05)。33眼术后眼压明显降低(P＜0.05),术后1个月前房角镜检查房角均较术前开放角度增加。25例(31眼)术后6个月复查视野无明显进展。1例(2眼)眼压正常范围,视野损害加重,用苏为坦滴眼液进一步控制眼压。结论 超声乳化前房角分离术可有效治疗合并白内障的慢性闭角型青光眼。
目的 觀察超聲乳化人工晶體植入聯閤前房角粘連分離術治療慢性閉角型青光眼閤併白內障的效果。方法 超聲乳化術聯閤前房角粘連分離術聯閤人工晶狀體植入三聯術治療閉角型青光眼閤併白內障26例(33眼)。對其手術前後的視力、眼壓、視野、中央前房深度、房角形態進行對照觀察。結果 術後隨訪3 ～36箇月,視力均較術前明顯提高(P＜0.05)。術後中央前房深度均加深(P＜0.05)。33眼術後眼壓明顯降低(P＜0.05),術後1箇月前房角鏡檢查房角均較術前開放角度增加。25例(31眼)術後6箇月複查視野無明顯進展。1例(2眼)眼壓正常範圍,視野損害加重,用囌為坦滴眼液進一步控製眼壓。結論 超聲乳化前房角分離術可有效治療閤併白內障的慢性閉角型青光眼。
목적 관찰초성유화인공정체식입연합전방각점련분리술치료만성폐각형청광안합병백내장적효과。방법 초성유화술연합전방각점련분리술연합인공정상체식입삼련술치료폐각형청광안합병백내장26례(33안)。대기수술전후적시력、안압、시야、중앙전방심도、방각형태진행대조관찰。결과 술후수방3 ～36개월,시력균교술전명현제고(P＜0.05)。술후중앙전방심도균가심(P＜0.05)。33안술후안압명현강저(P＜0.05),술후1개월전방각경검사방각균교술전개방각도증가。25례(31안)술후6개월복사시야무명현진전。1례(2안)안압정상범위,시야손해가중,용소위탄적안액진일보공제안압。결론 초성유화전방각분리술가유효치료합병백내장적만성폐각형청광안。
Objective To investigate the effect of phacoemulsification and intraocular lens implants combined with goniosynechialysis in the management the chronic angle-closure glaucoma with cataract.Methods A totle of 33 eyes were treated with phacoemulsification combined with goniosynechialysis. The visual acuity, ocular pressure, visual field, centual anterion chamber depth and morphology of chamber angle were observed and compared before and afther surgery Results Patients were followed up for 36 months afer surgery. The best corrected visual acuity were improved after the surgery (P ＜ 0. 05 ). Anterior chamber depth were deepthened (P ＜0.05). The ocular pressure of 33 eyes were obuiously reduced (P ＜0.05). The poetoperatiue gonioscopy showed that the chamber angle was open in a different level. The visual field of 31 eyes do not improve after 6 months of surgery. The visual field of 2 eyes was worsing after surgery, though the intraocular pressure was in the normal level. Conclusion The management of chronic angle-closure gloucoma with cataract by phacoemulsification combine with goniosynechialysis were effective.
