国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
3期
496-498
,共3页
超声乳化%选择性小梁激光成形术%眼压%开角型青光眼
超聲乳化%選擇性小樑激光成形術%眼壓%開角型青光眼
초성유화%선택성소량격광성형술%안압%개각형청광안
phacoemulsification%selective laser trabeculoplasty%intraocular pressure%primary open angle glaucoma
目的：比较选择性小梁激光成形术（ SLT）和超声乳化联合选择性小梁激光成形术（ Phaco＋SLT ）在药物控制良好的开角型青光眼（ POAG）中的降眼压作用。<br> 方法：采用前瞻性临床病例对照研究，24例30眼药物控制眼压良好的开角型青光眼随机分为两组，其中Phaco＋SLT组11例14眼；SLT组13例16眼。测量术后3，6，9 mo的眼压及术后9 mo的视力和抗青光眼用药数量。<br> 结果：两组术后平均眼压比术前眼压明显降低。 Phaco＋SLT组在术后6，9 mo的平均眼压明显低于SLT组，两组眼压比较有统计学意义（ P＝0．001）；两组术后抗青光眼用药数量比术前明显降低，两组间比较有统计学意义（P＝0．03）。<br> 结论：Phaco＋SLT和SLT能明显降低开角型青光眼患者眼压，Phaco＋SLT降眼压作用明显优于SLT。
目的：比較選擇性小樑激光成形術（ SLT）和超聲乳化聯閤選擇性小樑激光成形術（ Phaco＋SLT ）在藥物控製良好的開角型青光眼（ POAG）中的降眼壓作用。<br> 方法：採用前瞻性臨床病例對照研究，24例30眼藥物控製眼壓良好的開角型青光眼隨機分為兩組，其中Phaco＋SLT組11例14眼；SLT組13例16眼。測量術後3，6，9 mo的眼壓及術後9 mo的視力和抗青光眼用藥數量。<br> 結果：兩組術後平均眼壓比術前眼壓明顯降低。 Phaco＋SLT組在術後6，9 mo的平均眼壓明顯低于SLT組，兩組眼壓比較有統計學意義（ P＝0．001）；兩組術後抗青光眼用藥數量比術前明顯降低，兩組間比較有統計學意義（P＝0．03）。<br> 結論：Phaco＋SLT和SLT能明顯降低開角型青光眼患者眼壓，Phaco＋SLT降眼壓作用明顯優于SLT。
목적：비교선택성소량격광성형술（ SLT）화초성유화연합선택성소량격광성형술（ Phaco＋SLT ）재약물공제량호적개각형청광안（ POAG）중적강안압작용。<br> 방법：채용전첨성림상병례대조연구，24례30안약물공제안압량호적개각형청광안수궤분위량조，기중Phaco＋SLT조11례14안；SLT조13례16안。측량술후3，6，9 mo적안압급술후9 mo적시력화항청광안용약수량。<br> 결과：량조술후평균안압비술전안압명현강저。 Phaco＋SLT조재술후6，9 mo적평균안압명현저우SLT조，량조안압비교유통계학의의（ P＝0．001）；량조술후항청광안용약수량비술전명현강저，량조간비교유통계학의의（P＝0．03）。<br> 결론：Phaco＋SLT화SLT능명현강저개각형청광안환자안압，Phaco＋SLT강안압작용명현우우SLT。
AIM: To compare the effect of primary open angle glaucoma ( POAG ) with well-controlled drugs on the intraocular pressure ( IOP ) using phacoemulsification combined selective laser trabeculoplasty ( phacoemulsification combined SLT) versus SLT alone. <br> METHODS:By a prospective clinical case control study, 24 patients (30 eyes) with POAG were randomly divided into 2 groups:eleven patients (14 eyes) were treated with phacoemulsification combined SLT and 13 patients ( 16 eyes) were treated with SLT alone.IOP at 3, 6, 9mo, visual acuity and glaucoma medicines at 9mo were observed postoperatively. <br> RESULTS: The mean IOP of both groups was significantly decreased after the surgery. IOP of phacoemulsification combined SLT had decreased markedly than SLT alone after 3, 6mo. There was statistical significance between the 2 groups (P=0.001). The numbers of glaucoma drugs were markedly decreased postoperatively than preoperatively in both groups.Statistical significance were found between the 2 groups (P=0.03). <br> CONCLUSION: The study demonstrates that phacoemulsification with SLT and SLT can markedly reduce the IOP of POAG patients with good IOP control using drugs. The IOP - reducing effect of phacoemulsification combined SLT exceeds markedly than that of SLT alone.
