国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2009年
1期
5-7
,共3页
激光周边虹膜切除%闭角型青光眼%白内障%前房角
激光週邊虹膜切除%閉角型青光眼%白內障%前房角
격광주변홍막절제%폐각형청광안%백내장%전방각
laser iridotomy%angle closure glaucoma%cataract%anterior chamber angle
目的:观察超声乳化白内障吸出术联合人工晶状体(IOL)植入治疗激光周边虹膜切除术后闭角型青光眼的治疗效果.方法:激光周边虹膜切除术后闭角型青光眼并白内障患者39例(39眼),被分为两组,Ⅰ组须用抗青光眼药控制眼压,Ⅱ组不须用抗青光眼药控制眼压,患者均行超声乳化白内障吸出和折叠式人工晶状体植入术,术后随访3mo.结果:两组术后最佳矫正视力均较术前显著提高(P<0.05).术后3mo Ⅰ组眼压为15.72±3.02mmHg,Ⅱ组为16.30±3.81mmHg,两组眼压均比术前明显下降,有显著性差别(P<0.05).Ⅰ组中央前房深度由术前1.64±0.45mm加深至术后3mo的3.21±0.41mm,Ⅱ组中央前房深度由术前1.92±0.52mm加深至术后3mo的3.18±0.39mm,两组术后中央前房深度均比术前明显加深,有显著性差异(P<0.05),前房角明显增宽.结论:超声乳化白内障吸出和人工晶状体(IOL)植入术不仅能提高激光周边虹膜切除术后青光眼视力,而且可彻底解除闭角型青光眼的瞳孔阻滞.
目的:觀察超聲乳化白內障吸齣術聯閤人工晶狀體(IOL)植入治療激光週邊虹膜切除術後閉角型青光眼的治療效果.方法:激光週邊虹膜切除術後閉角型青光眼併白內障患者39例(39眼),被分為兩組,Ⅰ組鬚用抗青光眼藥控製眼壓,Ⅱ組不鬚用抗青光眼藥控製眼壓,患者均行超聲乳化白內障吸齣和摺疊式人工晶狀體植入術,術後隨訪3mo.結果:兩組術後最佳矯正視力均較術前顯著提高(P<0.05).術後3mo Ⅰ組眼壓為15.72±3.02mmHg,Ⅱ組為16.30±3.81mmHg,兩組眼壓均比術前明顯下降,有顯著性差彆(P<0.05).Ⅰ組中央前房深度由術前1.64±0.45mm加深至術後3mo的3.21±0.41mm,Ⅱ組中央前房深度由術前1.92±0.52mm加深至術後3mo的3.18±0.39mm,兩組術後中央前房深度均比術前明顯加深,有顯著性差異(P<0.05),前房角明顯增寬.結論:超聲乳化白內障吸齣和人工晶狀體(IOL)植入術不僅能提高激光週邊虹膜切除術後青光眼視力,而且可徹底解除閉角型青光眼的瞳孔阻滯.
목적:관찰초성유화백내장흡출술연합인공정상체(IOL)식입치료격광주변홍막절제술후폐각형청광안적치료효과.방법:격광주변홍막절제술후폐각형청광안병백내장환자39례(39안),피분위량조,Ⅰ조수용항청광안약공제안압,Ⅱ조불수용항청광안약공제안압,환자균행초성유화백내장흡출화절첩식인공정상체식입술,술후수방3mo.결과:량조술후최가교정시력균교술전현저제고(P<0.05).술후3mo Ⅰ조안압위15.72±3.02mmHg,Ⅱ조위16.30±3.81mmHg,량조안압균비술전명현하강,유현저성차별(P<0.05).Ⅰ조중앙전방심도유술전1.64±0.45mm가심지술후3mo적3.21±0.41mm,Ⅱ조중앙전방심도유술전1.92±0.52mm가심지술후3mo적3.18±0.39mm,량조술후중앙전방심도균비술전명현가심,유현저성차이(P<0.05),전방각명현증관.결론:초성유화백내장흡출화인공정상체(IOL)식입술불부능제고격광주변홍막절제술후청광안시력,이차가철저해제폐각형청광안적동공조체.
AIM: To determine the effect of phacoemulsification and intraocular lens (IOL) implantation for angle closure glaucoma previously treated by laser iridotomy.METHODS: Thirty-nine patients(39 eyes )with angle closure glaucoma previously treated by laser iridotomy and cataract were divided into two groups according need for anti-glaucoma medications for controlling intraocular pressure (IOP) or not. All the patients underwent phacoemulsification and foldable IOL implantation and were followed up 3 months postoperatively.RESULTS: The best-corrected visual acuity(BCVA) of both groups improved significantly (P<0.05). The post-operative IOP of group I at 3 months was 15.72±3.02mmHg,and that of group Ⅱwas 16.30±3.81mmHg. The IOP of both group decreased significantly(P<0.05). The central anterior chamber depth of group I was deepened from 1.64±0.45mm preoperatively to 3.21±0.41mm at 3 months postoperatively,group Ⅱ was deepened from 1.92±0.52mm preoperatively to 3.18±0.39mm at 3 months postoperatively. The postoperative central anterior chamber depth of both groups increased significantly(P<0.05).Anterior chamber angle was much wider postoperatively.CONCLUSION: Phacoemulsification and IOL implantation was effective for angle closure glaucoma previously treated by laser iridotomy,and can improve visual acuity and completely relieve the pupillary block of angle closure glaucoma.
