世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
13期
34-35
,共2页
急性闭角性青光眼%综合治疗%炎症消退
急性閉角性青光眼%綜閤治療%炎癥消退
급성폐각성청광안%종합치료%염증소퇴
acute angle-closure glaucoma%comprehensive treatment%inflammation subsided
目的总结分析急性闭角性青光眼的综合治疗效果。方法选择2010年6月至2012年11月期间我院收治的43例（43眼）急性闭角性青光眼患者为研究对象，先用药物治疗，使房角开放、IOP下降，待炎症反应消退后再进行角巩膜隧道切口超声乳化白内障吸除术联合人工晶体植入术治疗，观察治疗效果。结果43例患者（43眼）中42眼术后眼压下降至正常水平，1眼并发恶性青光眼导致失明，治愈率97.67%。43例患者术后均有不同程度的虹膜睫状体炎症反应，球结膜下注射地塞米松后炎症消失。结论巩膜隧道切口超声乳化白内障吸除术联合人工晶体植入术治疗方案具有切口小、能有效降低眼压、促进视力恢复、减少角膜散光的优点。
目的總結分析急性閉角性青光眼的綜閤治療效果。方法選擇2010年6月至2012年11月期間我院收治的43例（43眼）急性閉角性青光眼患者為研究對象，先用藥物治療，使房角開放、IOP下降，待炎癥反應消退後再進行角鞏膜隧道切口超聲乳化白內障吸除術聯閤人工晶體植入術治療，觀察治療效果。結果43例患者（43眼）中42眼術後眼壓下降至正常水平，1眼併髮噁性青光眼導緻失明，治愈率97.67%。43例患者術後均有不同程度的虹膜睫狀體炎癥反應，毬結膜下註射地塞米鬆後炎癥消失。結論鞏膜隧道切口超聲乳化白內障吸除術聯閤人工晶體植入術治療方案具有切口小、能有效降低眼壓、促進視力恢複、減少角膜散光的優點。
목적총결분석급성폐각성청광안적종합치료효과。방법선택2010년6월지2012년11월기간아원수치적43례（43안）급성폐각성청광안환자위연구대상，선용약물치료，사방각개방、IOP하강，대염증반응소퇴후재진행각공막수도절구초성유화백내장흡제술연합인공정체식입술치료，관찰치료효과。결과43례환자（43안）중42안술후안압하강지정상수평，1안병발악성청광안도치실명，치유솔97.67%。43례환자술후균유불동정도적홍막첩상체염증반응，구결막하주사지새미송후염증소실。결론공막수도절구초성유화백내장흡제술연합인공정체식입술치료방안구유절구소、능유효강저안압、촉진시력회복、감소각막산광적우점。
Objective To investigate clinical effect of comprehensive treatment for acute angle-closure glaucoma . Methods 43 patients(43eye)with acute angle-closure glaucoma in our hospital from June 2010 to November 2012 were treated by medication, the angle opening and IOP decreased and treated by scleral tunnel incision for phacoemulsification surgery with intraocular lens implantation after inflammation subsided.The clinical effect were analysed.Results After treatment,in 43 patients ( 43 eyes ) ,42 postoperative IOP decreased to normal levels , 1 case of concurrent malignant glaucoma lead to blindness and the cure rate was 97.67%. 43 cases of patients had varying degrees of iris and ciliary body inflammation and it disappeared after subconjunctival injection of dexamethasone.Conclusion The treatment program of scleral tunnel incision phacoemulsification combined intraocular lens implantation has advantages of a small incision, can effectively reduce intraocular pressure, promote visual acuity and reduce corneal astigmatism.
