国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
1期
92-93
,共2页
白内障超声乳化%人工晶状体植入%小梁切除术%急性闭角型青光眼%老年性白内障
白內障超聲乳化%人工晶狀體植入%小樑切除術%急性閉角型青光眼%老年性白內障
백내장초성유화%인공정상체식입%소량절제술%급성폐각형청광안%노년성백내장
phacoemulsification%intraocular lens %implantation%trabeculectomy%acute angle -closure glaucoma%senile cataract
目的：探讨白内障超声乳化联合人工晶状体植入及小梁切除术治疗急性闭角型青光眼合并白内障的临床疗效。<br> 方法：选择26例26眼急性闭角型青光眼合并老年性白内障患者作为研究对象，均接受白内障超声乳化联合人工晶状体植入及小梁切除术治疗，观察手术前后视力、眼压、前房深度变化及术后滤过泡形态、术后并发症。<br> 结果：术后6 mo时有14例视力≥0．5，10例视力为0．12～0．4，与术前相比视力均有明显改善，手术前后视力比较差异有统计学意义（P＜0．05）；术后1wk；3，6mo平均眼压分别为12．5±1．2，14．3±1．5，14．6±1．3mmHg，与术前平均眼压相比均明显降低，差异有统计学意义（ P＜0．05）。术后中央前房深度均明显加深且均形成弥散的功能性滤过泡。术后主要并发症为角膜水肿及前房炎症反应。<br> 结论：白内障超声乳化联合人工晶状体植入及小梁切除术治疗急性闭角型青光眼合并老年性白内障，不仅安全有效，而且术后并发症轻微，值得临床推广应用。
目的：探討白內障超聲乳化聯閤人工晶狀體植入及小樑切除術治療急性閉角型青光眼閤併白內障的臨床療效。<br> 方法：選擇26例26眼急性閉角型青光眼閤併老年性白內障患者作為研究對象，均接受白內障超聲乳化聯閤人工晶狀體植入及小樑切除術治療，觀察手術前後視力、眼壓、前房深度變化及術後濾過泡形態、術後併髮癥。<br> 結果：術後6 mo時有14例視力≥0．5，10例視力為0．12～0．4，與術前相比視力均有明顯改善，手術前後視力比較差異有統計學意義（P＜0．05）；術後1wk；3，6mo平均眼壓分彆為12．5±1．2，14．3±1．5，14．6±1．3mmHg，與術前平均眼壓相比均明顯降低，差異有統計學意義（ P＜0．05）。術後中央前房深度均明顯加深且均形成瀰散的功能性濾過泡。術後主要併髮癥為角膜水腫及前房炎癥反應。<br> 結論：白內障超聲乳化聯閤人工晶狀體植入及小樑切除術治療急性閉角型青光眼閤併老年性白內障，不僅安全有效，而且術後併髮癥輕微，值得臨床推廣應用。
목적：탐토백내장초성유화연합인공정상체식입급소량절제술치료급성폐각형청광안합병백내장적림상료효。<br> 방법：선택26례26안급성폐각형청광안합병노년성백내장환자작위연구대상，균접수백내장초성유화연합인공정상체식입급소량절제술치료，관찰수술전후시력、안압、전방심도변화급술후려과포형태、술후병발증。<br> 결과：술후6 mo시유14례시력≥0．5，10례시력위0．12～0．4，여술전상비시력균유명현개선，수술전후시력비교차이유통계학의의（P＜0．05）；술후1wk；3，6mo평균안압분별위12．5±1．2，14．3±1．5，14．6±1．3mmHg，여술전평균안압상비균명현강저，차이유통계학의의（ P＜0．05）。술후중앙전방심도균명현가심차균형성미산적공능성려과포。술후주요병발증위각막수종급전방염증반응。<br> 결론：백내장초성유화연합인공정상체식입급소량절제술치료급성폐각형청광안합병노년성백내장，불부안전유효，이차술후병발증경미，치득림상추엄응용。
AIM: To investigate the clinical effects of phacoemulsification with intraocular lens implantation and trabeculectomy in management of acute angle-closure glaucoma patients with cataract. <br> METHODS: Twenty-six cases ( 26 eyes ) with acute angle-closure glaucoma patients with senile cataract all underwent phacoemulsification with intraocular lens implantation and trabeculectomy, the visual acuity, intraocular pressure and anterior chamber depth variation and postoperative bleb morphology, postoperative complications were observed. <br> RESULTS:Six months after operation, the visual acuity of 14 patients were ≥0.5 and 10 patients were from 0.12 to 0.4, which were improved significantly compared with preoperative, the differences were significantly (P<0.05);the mean intraocular pressure in postoperative 1 week, 3 months and 6 months were respectively 12.5 ±1.2mmHg, 14.3±1.5mmHg and 14.6±1.3mmHg respectively, which were lowered compared with the preoperative intraocular pressure, the differences were statistically significantly ( P<0.05).The postoperative central anterior chamber depth was significantly deepened and functional diffuse blebs were formed. The main complications were corneal edema and anterior chamber inflammation. <br> CONCLUSION:Phacoemulsification and intraocular lens implantation and trabeculectomy in management of acute angle-closure glaucoma with senile cataract is safe and effective with minor postoperative complications, which deserves clinical application and recommendation.
