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
2012年
2期
94-97
,共4页
晶状体超声乳化吸出术%小梁切除术%青光眼合并白内障%周边虹膜切除%Pentacam 系统
晶狀體超聲乳化吸齣術%小樑切除術%青光眼閤併白內障%週邊虹膜切除%Pentacam 繫統
정상체초성유화흡출술%소량절제술%청광안합병백내장%주변홍막절제%Pentacam 계통
Phacoemulsification%Trabeculectomy%Glaucoma with cataract%Peripheral iridectomy%Pentacam system
目的 比较超声乳化吸出人工晶状体植入联合小梁切除术中,同时做与不做周边虹膜切除术的手术效果.方法 对32例(38眼)青光眼合并白内障手术回顾性分析.采用双切口晶状体超声乳化吸出、折叠式人工晶状体植入联合小梁切除术,分成做周边虹膜切除术(PI组)20眼,不做周边虹膜切除术(NoPI组)18眼,经Pentacam测量术前术后前房参数变化,比较两组在统计学上的差异,比较视力、眼压和并发症发生情况.随访12个月.结果 术前、术后1周、1个月、3个月、6个月、12个月前房角角度、中央前房深度、上方周边前房深度两组间差异无统计学意义(P＞0.05).两组术后12个月平均眼压均明显低于术前(P＜0.05),且两组间差异无统计学意义(t=0.04,P＞0.05).术后1周矫正视力≥0.3者34眼(89.5％),明显高于术前者4眼(10.5％)(P＜0.05),两组间术后矫正视力差异无统计学意义(P＞0.05).术后早期并发症为角膜水肿和前房渗出,PI组前房少量积血1眼,NoPI组术后1d,1眼出现周边虹膜堵塞小梁滤口,经周边虹膜切除处理后恢复正常.余无严重并发症.结论 超声乳化吸出、人工晶状体植入联合小梁切除术中,做与不做周边虹膜切除术治疗青光眼合并白内障的效果无明显差异,均具有提高视力、降低眼压、加深前房、手术并发症少的效果.
目的 比較超聲乳化吸齣人工晶狀體植入聯閤小樑切除術中,同時做與不做週邊虹膜切除術的手術效果.方法 對32例(38眼)青光眼閤併白內障手術迴顧性分析.採用雙切口晶狀體超聲乳化吸齣、摺疊式人工晶狀體植入聯閤小樑切除術,分成做週邊虹膜切除術(PI組)20眼,不做週邊虹膜切除術(NoPI組)18眼,經Pentacam測量術前術後前房參數變化,比較兩組在統計學上的差異,比較視力、眼壓和併髮癥髮生情況.隨訪12箇月.結果 術前、術後1週、1箇月、3箇月、6箇月、12箇月前房角角度、中央前房深度、上方週邊前房深度兩組間差異無統計學意義(P＞0.05).兩組術後12箇月平均眼壓均明顯低于術前(P＜0.05),且兩組間差異無統計學意義(t=0.04,P＞0.05).術後1週矯正視力≥0.3者34眼(89.5％),明顯高于術前者4眼(10.5％)(P＜0.05),兩組間術後矯正視力差異無統計學意義(P＞0.05).術後早期併髮癥為角膜水腫和前房滲齣,PI組前房少量積血1眼,NoPI組術後1d,1眼齣現週邊虹膜堵塞小樑濾口,經週邊虹膜切除處理後恢複正常.餘無嚴重併髮癥.結論 超聲乳化吸齣、人工晶狀體植入聯閤小樑切除術中,做與不做週邊虹膜切除術治療青光眼閤併白內障的效果無明顯差異,均具有提高視力、降低眼壓、加深前房、手術併髮癥少的效果.
목적 비교초성유화흡출인공정상체식입연합소량절제술중,동시주여불주주변홍막절제술적수술효과.방법 대32례(38안)청광안합병백내장수술회고성분석.채용쌍절구정상체초성유화흡출、절첩식인공정상체식입연합소량절제술,분성주주변홍막절제술(PI조)20안,불주주변홍막절제술(NoPI조)18안,경Pentacam측량술전술후전방삼수변화,비교량조재통계학상적차이,비교시력、안압화병발증발생정황.수방12개월.결과 술전、술후1주、1개월、3개월、6개월、12개월전방각각도、중앙전방심도、상방주변전방심도량조간차이무통계학의의(P＞0.05).량조술후12개월평균안압균명현저우술전(P＜0.05),차량조간차이무통계학의의(t=0.04,P＞0.05).술후1주교정시력≥0.3자34안(89.5％),명현고우술전자4안(10.5％)(P＜0.05),량조간술후교정시력차이무통계학의의(P＞0.05).술후조기병발증위각막수종화전방삼출,PI조전방소량적혈1안,NoPI조술후1d,1안출현주변홍막도새소량려구,경주변홍막절제처리후회복정상.여무엄중병발증.결론 초성유화흡출、인공정상체식입연합소량절제술중,주여불주주변홍막절제술치료청광안합병백내장적효과무명현차이,균구유제고시력、강저안압、가심전방、수술병발증소적효과.
Objective To compare therapeutic effects of the phacotrabeculectomy and intraocular lens implantation with and without peripheral iridectomy(PI).Methods Retrospective analysis of 32 cases (38 eyes) glaucomatous patients with a coexisting cataract,patients randomized for PI in 20 eyes or no PI in 18 eyes during the combined two-site phacoemulsification,foldable intraocular lens implantatidn and trabeculectomy,The two groups were compared for visual acuity (VA),intraocular pressure ( IOP),complication rates,and parameters variation of anterior chamber pre-and postoperative with Pentacam.followed for 12months.Results There were no statistical differences in two groups for anterior chamber angle,central anterior chamber depth,superior peripheral chamber depth in preoperative,1 week,1 month,3 months,6months,12 months postoperatively (P ＞ 0.05).The mean postoperative IOP lower than preoperative in both groups in 12 months after surgery (P ＜ 0.05 ).There was no differences in two groups for mean postoperative introcular pressure in 12 months after surgery (t =0.04,P ＞ 0.05 ).1 week postoperatively,corrected visual acuity were better than 0.3 (89.5 ％ ) in 34 eyes,the number was 4 eyes (10.5％) preoperation.There was no statistical differences in two groups ( P ＞ 0.05 ).The postoperative early complicatirm was corneal edema and anterior chamber exudation,small amounts hyphema in one eye from the PI group,and one eye from the no PI group developed an iris incarceration into the internal sclerectomy site on postoperative day 1,returned to normal by peripheral iridectomy.No other significant complications.Conclusion Combined phacoemulsification,foldable intraocular lens implantation and trabeculectomy,peripheral iridectomy or no peripheral iridectomy were similiarly safe and effective in improve visual acuity,lower lOP,deepen anterior champber and less complication in patients with co-existing glaucoma and cataract.
