中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2010年
1期
61-63
,共3页
青光眼%闭角型%白内障%小切口%人工晶状体
青光眼%閉角型%白內障%小切口%人工晶狀體
청광안%폐각형%백내장%소절구%인공정상체
Glaucoma%Shuts the angle type%Cataract%Small incision%Intraocular lens
目的 探讨小切口白内障手术治疗急性闭角型青光眼的疗效.方法 回顾性分析合并有白内障的首发急性闭角型青光眼,且前房角关闭粘连范围小于180°者36例(36只跟),单纯行小切口白内障手术联合后房型人工晶状体植入术,观察分析术前和术后眼压、前房深度、前房角及矫正视力的变化,术后随访1～12月.结果 术后1周,36只眼眼压全部控制在20mmHg(1mmHg=0.133kPa)以下,前房深度明显增加,前房角增宽,34只眼最佳矫正视力均有不同程度的提高,2只眼无变化.术中术后无严重手术并发症.随访35只眼,同术后1周相比,眼压全部无明显变化,1只眼视力因眼底出血而下降.术前术后眼压,前房深度及视力差异有统计学意义.结论 小切口白内障手术联合后房型人工晶状体植入术治疗合并有白内障,且前房角关闭粘连范围小于180°的首发急性闭角型青光眼,方法简单,经济,效果良好.
目的 探討小切口白內障手術治療急性閉角型青光眼的療效.方法 迴顧性分析閤併有白內障的首髮急性閉角型青光眼,且前房角關閉粘連範圍小于180°者36例(36隻跟),單純行小切口白內障手術聯閤後房型人工晶狀體植入術,觀察分析術前和術後眼壓、前房深度、前房角及矯正視力的變化,術後隨訪1～12月.結果 術後1週,36隻眼眼壓全部控製在20mmHg(1mmHg=0.133kPa)以下,前房深度明顯增加,前房角增寬,34隻眼最佳矯正視力均有不同程度的提高,2隻眼無變化.術中術後無嚴重手術併髮癥.隨訪35隻眼,同術後1週相比,眼壓全部無明顯變化,1隻眼視力因眼底齣血而下降.術前術後眼壓,前房深度及視力差異有統計學意義.結論 小切口白內障手術聯閤後房型人工晶狀體植入術治療閤併有白內障,且前房角關閉粘連範圍小于180°的首髮急性閉角型青光眼,方法簡單,經濟,效果良好.
목적 탐토소절구백내장수술치료급성폐각형청광안적료효.방법 회고성분석합병유백내장적수발급성폐각형청광안,차전방각관폐점련범위소우180°자36례(36지근),단순행소절구백내장수술연합후방형인공정상체식입술,관찰분석술전화술후안압、전방심도、전방각급교정시력적변화,술후수방1～12월.결과 술후1주,36지안안압전부공제재20mmHg(1mmHg=0.133kPa)이하,전방심도명현증가,전방각증관,34지안최가교정시력균유불동정도적제고,2지안무변화.술중술후무엄중수술병발증.수방35지안,동술후1주상비,안압전부무명현변화,1지안시력인안저출혈이하강.술전술후안압,전방심도급시력차이유통계학의의.결론 소절구백내장수술연합후방형인공정상체식입술치료합병유백내장,차전방각관폐점련범위소우180°적수발급성폐각형청광안,방법간단,경제,효과량호.
Objective To investigate the effectiveness of small incision cataract surgery for acute an-gle-closure glaucoma.Methods Thirty-six cased (36 eyes)of acute angle-closure glaucoma which had the cataract and the angle of anterior chamber closes being smaller than 180° Range received small incision cataract surgery with IOL implantation alone.Postoperative IOP, the depth of anterior chamber, the width of the angle of anterior chambers and visual acuity were observed with 1～12 months follow up.Results IOP of 36 eyes was all under the control of 20 mmHg (1mmHg=0.133Kpa) 1 week after operation and the anterior chamber angles became wider.Best corrected visual acuity acquired increase in 34 eyes at different degrees.Two eyes had no changes.There was no serious operation complication.During the follow up time IOP of 35 eyes had no change compared to one week postoperative.Eye sight of 1 eye decreased because the fundus hemor-rhage.The postoperative and preoperative IOP, anterior chamber depth and sight difference had statistically sig-nificant differences.Conclusions Small incision cataract surgery with posterior chamber intaoocular lens(IOL) implantation is an simple, economic and effective means for acute angle-closure glaucoma which have the cataract and the angle of anterior chamber closes being smaller than 180°.
