CAJ | 학술논문

目的探讨两种不同手术方法治疗急性闭角型青光眼合并白内障的临床效果.方法对86例96只眼急性闭角型青光眼合并白内障患者,凡房角开放1/4象限者,随机分为两组,观察组44只眼,行白内障超声乳化吸出+人工晶状体植入联合小梁切除术,对照组52只眼行单纯白内障超声乳化吸出+人工晶状体植入术,术后随访6～10个月.结果术后两组早期视力差异无显著性,6个月后因眼压较高引起视力下降者,观察组5只眼,对照组8只眼,两组间无显著性差异(P>0.05),眼压控制在正常范围者<20mmHg(1kPa=7.5mmHg),观察组38只眼,对照组46只眼,两组间无显著性差异(P>0.05),术后两组并发症的发生无显著差异(P>0.05).结论急性闭角型青光眼合并白内障,术前房角粘连个象限以下者,单纯行白内障超声乳化人工晶体植入手术和联合小梁切除术手术效果相当.
목적 탐토량충불동수술방법치료급성폐각형청광안합병백내장적림상효과.방법 대86례96지안급성폐각형청광안합병백내장환자,범방각개방1/4상한자,수궤분위량조,관찰조44지안,행백내장초성유화흡출+인공정상체식입연합소량절제술,대조조52지안행단순백내장초성유화흡출+인공정상체식입술,술후수방6～10개월.결과 술후량조조기시력차이무현저성,6개월후인안압교고인기시력하강자,관찰조5지안,대조조8지안,량조간무현저성차이(P>0.05),안압공제재정상범위자<20mmHg(1kPa=7.5mmHg),관찰조38지안,대조조46지안,량조간무현저성차이(P>0.05),술후량조병발증적발생무현저차이(P>0.05).결론 급성폐각형청광안합병백내장,술전방각점련개상한이하자,단순행백내장초성유화인공정체식입수술화연합소량절제술수술효과상당.
Objective To evaluate the clinical effects of treatment for primary acute angle closure glaucoma(PACG)combined with cataract with tow different surgical methods.Methods Eighty-six patients (96 eyes)with PACG and cataract were divided imrandomly into observation group(44 eyes)and control group (52eyes).Observation group accepted phacoemulsification intraocular lens implantation and trabeculectomy, control group accepted phacoemulsification and intraoenlar lens implantation.All patients followed up 6～10months postoperative.Results There was no marked difference of the early postoperative visual acuity between the two groups. Follow 6months, because of higher IOP, 5 eyes(observation group)and 8 eyes(control group)complained of decrease of vision, the two groups had no significant difference(P>0.05); Postoperative IOP<20 mmHg in observation group was 38 eyes, control group was 46 eyes, the difference was no statistical-ly significant in two groups(P>0.05). There was no marked difference of complication in two groups after surgery(P>0.05).Conclusion For PACG combined with cataract,and preoperative chamber angles closed<3/4 area, there were no difference between two surgical methods the phacoemulsification intraocular lens im-plantation and trabeculectomy and the phacoemulsification and intraocular lens implantation.