CAJ | 학술논문

目的研究激光周边虹膜成形术(LPIP)和白内障超声乳化吸除(Phaco)联合人工晶状体植入术对原发性急性闭角型青光眼的治疗效果.方法对合并不同程度白内障的原发性闭角型青光眼急性发作患者54例61只眼随机分激光组(27例31只眼)和常规组(27例30只眼).激光组行LPIP,常规组以常规药物控制眼压,而后均行Phaco和人工晶状体植入术.比较两组眼压控制效果、前房角开放状况、瞳孔纵向直径、裸眼视力等.结果两组治疗前的眼压差异无统计学意义(P＞0.05);治疗后0.5 h、1 h、2 h、4 h,两组眼压的差异均具有统计学意义(P＜0.05).Phaco联合人工晶状体植入术后1周、3月、6月,两组各时点眼压差异无统计学意义(P＞0.05).Phaco联合人工晶状体植入术前、术后6月,两组前房角开放状况的差异均具统计学意义(P＜0.05).Phaco联合人工晶状体植入术后6月两组瞳孔纵向直径、最佳矫正视力的差异有统计学意义(P＜0.05).结论激光虹膜成形术联合白内障超声乳化吸除可更有效治疗原发性闭角型青光眼急性发作.
목적 연구격광주변홍막성형술(LPIP)화백내장초성유화흡제(Phaco)연합인공정상체식입술대원발성급성폐각형청광안적치료효과.방법 대합병불동정도백내장적원발성폐각형청광안급성발작환자54례61지안수궤분격광조(27례31지안)화상규조(27례30지안).격광조행LPIP,상규조이상규약물공제안압,이후균행Phaco화인공정상체식입술.비교량조안압공제효과、전방각개방상황、동공종향직경、라안시력등.결과 량조치료전적안압차이무통계학의의(P＞0.05);치료후0.5 h、1 h、2 h、4 h,량조안압적차이균구유통계학의의(P＜0.05).Phaco연합인공정상체식입술후1주、3월、6월,량조각시점안압차이무통계학의의(P＞0.05).Phaco연합인공정상체식입술전、술후6월,량조전방각개방상황적차이균구통계학의의(P＜0.05).Phaco연합인공정상체식입술후6월량조동공종향직경、최가교정시력적차이유통계학의의(P＜0.05).결론 격광홍막성형술연합백내장초성유화흡제가경유효치료원발성폐각형청광안급성발작.
Objective To investigate the effect of laser peripheral iridoplasty (LPIP) combined phacoemulsification (Phaco) on attack of primary angle-closure glaucoma (PACG). Methods Sixty-one eyes of acute attack of PACG (54 consecutive cases) were divided into laser group (31 eyes of 27 cases) and routine group (30 eyes of 27 cases) randomly. Before phacoemulsification cataract extraction with intraocular lens implantation, eyes of laser group were performed LPIP'while eyes of routine group were administered routine drugs to control intraocular pressure (IOP). The effect of IOP depression, status of anterior chamber angle, perpendicular pupil diameter, and uncorrected visual acuity (UCVA) were compared between laser group and routine group. Results The mean IOP was no statistically difference between laser group and routine group pre-treated, but the mean IOP of laser group was reduced more rapidly than that af routine group. Ultrasound biomicroscopy discovered that LPIP could open closed anterior chamber angle more effectively. Compared with routine group, the perpendicular pupil diameter of laser group was smaller and the best corrective visual acuity' of laser group was better at 6 months post-phacoemulsification. Conclusions LPIP Combined with phacoemulsification cataract extraction can treat primary acute angle-closure glaucoma more effectively.