CAJ | 학술논문

目的：探讨超声乳化手术治疗开角型青光眼合并白内障的临床疗效。方法将45例开角型青光眼合并白内障患者作为研究对象,进行超声乳化人工晶体植入术进行治疗,观察患者治疗效果。结果患者经过治疗后视力均有不同程度的提高。术后3个月随访观察,视力<0.1患者3例,0.1~0.2患者2例,≥0.3患者40例,其中视力在0.5以上患者28例,两者之间差异具有统计学意义(P<0.05)。患者术后眼压较治疗前明显降低,所有患者都不需要使用降眼压药物,两者差异具有统计学意义(P<0.05)。45例患者,其中轻度色素沉着3例,占6.67%,前房少量积血患者3例,占6.67%,经过对症处理后3~4d症状完全吸收。所有患者没有一例严重并发症发生。结论超声乳化手术治疗开角型青光眼合并白内障疗效确切,可明显降低眼内压,提高患者视力,值得临床推广研究。
목적：탐토초성유화수술치료개각형청광안합병백내장적림상료효。방법장45례개각형청광안합병백내장환자작위연구대상,진행초성유화인공정체식입술진행치료,관찰환자치료효과。결과환자경과치료후시력균유불동정도적제고。술후3개월수방관찰,시력<0.1환자3례,0.1~0.2환자2례,≥0.3환자40례,기중시력재0.5이상환자28례,량자지간차이구유통계학의의(P<0.05)。환자술후안압교치료전명현강저,소유환자도불수요사용강안압약물,량자차이구유통계학의의(P<0.05)。45례환자,기중경도색소침착3례,점6.67%,전방소량적혈환자3례,점6.67%,경과대증처리후3~4d증상완전흡수。소유환자몰유일례엄중병발증발생。결론초성유화수술치료개각형청광안합병백내장료효학절,가명현강저안내압,제고환자시력,치득림상추엄연구。
Objective To discuss clinical efficacy of phacoemulsification surgery for open angle glaucoma combined cataract. Methods The 45 cases of open-angle glaucoma and cataract patients as research subjects, phacoemulsification and intraocular lens implantation for treatment, observation of patient outcomes. Results Visual acuity after treatment in patients with varying degrees of improvement. 3 months postoperative follow-up observation, 3 patients visual acuity<0.1, 2 patients from 0.1 to 0.2, 40 patients,≥0.3, including visual acuity of 0.5 or more in 28 patients, a statistically significant difference between the two (P<0.05 ). IOP compared patients before treatment was significantly reduced in all patients do not require the use of intraocular pressure lowering drugs, the difference was statistically significant (P<0.05). 45 patients, including mild pigmentation three cases, accounting for 6.67%, a small amount of blood in the anterior chamber 3 patients (6.67%), symptomatic treatment after 3~4 days the symptoms completely absorbed. All patients no case of serious complications. Conclusion Phacoemulsification surgery for open-angle glaucoma and cataract efficacy, can significantly reduce intraocular pressure, improve visual acuity, clinical research worthwhile.