国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2013年
12期
2510-2513
,共4页
白内障%闭角型青光眼%手术切口%角膜内皮细胞
白內障%閉角型青光眼%手術切口%角膜內皮細胞
백내장%폐각형청광안%수술절구%각막내피세포
cataract%angle -closure glaucoma%incision%corneal endothelium cells
目的：探讨单切口与双切口超声乳化白内障吸除折叠式人工晶状体植入联合青光眼小梁切除术治疗闭角型青光眼并发白内障的疗效比较。<br> 方法：回顾性分析70例98眼青光眼小梁切除联合白内障超声乳化摘除人工晶状体植入术病例。其中单切口术式的病例有34例50眼，双切口的有36例48眼。分析比较两组患者的术后眼压控制、滤过泡情况，术前和术后1mo的角膜内皮细胞密度和面积及并发症情况。随访12～24（平均18．2）mo。<br> 结果：术后平均眼压单切口组10．16±4．31mmHg、双切口组11．38±3．55mmHg，两组术式平均眼压下降差异无统计学意义（P＞0．05）。术后滤过泡形成两组比较差异无统计学意义（P＞0．05）。两组患者角膜内皮细胞密度和面积术前没有明显差异（P＞0．05），术后1mo双切口组明显高于单切口组（P＜0．01）。<br> 结论：单切口和双切口不同术式的联合手术均具有较好的降眼压的作用，同时能维持良好的滤过泡功能。两组术式的降低眼压功能基本相同。双切口青光眼白内障三联手术在损失角膜内皮细胞方面比单切口术式更有优势。
目的：探討單切口與雙切口超聲乳化白內障吸除摺疊式人工晶狀體植入聯閤青光眼小樑切除術治療閉角型青光眼併髮白內障的療效比較。<br> 方法：迴顧性分析70例98眼青光眼小樑切除聯閤白內障超聲乳化摘除人工晶狀體植入術病例。其中單切口術式的病例有34例50眼，雙切口的有36例48眼。分析比較兩組患者的術後眼壓控製、濾過泡情況，術前和術後1mo的角膜內皮細胞密度和麵積及併髮癥情況。隨訪12～24（平均18．2）mo。<br> 結果：術後平均眼壓單切口組10．16±4．31mmHg、雙切口組11．38±3．55mmHg，兩組術式平均眼壓下降差異無統計學意義（P＞0．05）。術後濾過泡形成兩組比較差異無統計學意義（P＞0．05）。兩組患者角膜內皮細胞密度和麵積術前沒有明顯差異（P＞0．05），術後1mo雙切口組明顯高于單切口組（P＜0．01）。<br> 結論：單切口和雙切口不同術式的聯閤手術均具有較好的降眼壓的作用，同時能維持良好的濾過泡功能。兩組術式的降低眼壓功能基本相同。雙切口青光眼白內障三聯手術在損失角膜內皮細胞方麵比單切口術式更有優勢。
목적：탐토단절구여쌍절구초성유화백내장흡제절첩식인공정상체식입연합청광안소량절제술치료폐각형청광안병발백내장적료효비교。<br> 방법：회고성분석70례98안청광안소량절제연합백내장초성유화적제인공정상체식입술병례。기중단절구술식적병례유34례50안，쌍절구적유36례48안。분석비교량조환자적술후안압공제、려과포정황，술전화술후1mo적각막내피세포밀도화면적급병발증정황。수방12～24（평균18．2）mo。<br> 결과：술후평균안압단절구조10．16±4．31mmHg、쌍절구조11．38±3．55mmHg，량조술식평균안압하강차이무통계학의의（P＞0．05）。술후려과포형성량조비교차이무통계학의의（P＞0．05）。량조환자각막내피세포밀도화면적술전몰유명현차이（P＞0．05），술후1mo쌍절구조명현고우단절구조（P＜0．01）。<br> 결론：단절구화쌍절구불동술식적연합수술균구유교호적강안압적작용，동시능유지량호적려과포공능。량조술식적강저안압공능기본상동。쌍절구청광안백내장삼련수술재손실각막내피세포방면비단절구술식경유우세。
AIM:To compare the therapeutic effects of different incision phacoemulsification with foldable intraocular lens implantation combined with trabeculectomy in treating angle -closure glaucoma complicated with cataract. <br> METHODS: The retrospective study analyzed 70 patients ( 98 eyes ) who performed phacoemulsification with foldable intraocular lens implantation combined with trabeculectomy.Single incision surgery ( one-site approach) was performed on 34 patients (50 eyes), and double incision surgery ( two-site approaches) was done on 36 patients ( 48 eyes ) .The differences of intraocular pressure control, filtering bleb, the density and preservation of corneal endothelium cells both pre -surgery and 1 month post-surgery or later complication. in the two groups were compared and analyzed.Follow-up was 12-24 months with a mean of 18.2 months. <br> RESULTS: The average postoperative intraocular pressure in one-site groups was (10.16±4.31)mmHg. The average postoperative intraocular pressure in two-site groups was ( 11.38 ±3.55 ) mmHg.There were no statistically significant differences between the two groups (P>0.05) regarding the postoperative intraocular pressure and the formation of filtering blebs ( P>0.05). The density and area of corneal endothelium cells in the two-incision group pre-operation were comparable ( P>0.05).However, in 1 month post-operation, the rate of the corneal endothelial cells loss in double incision group was superior compared to the single incision group ( P<0.01). <br> CONCLUSION:Both single incision and double incision approach phacotrabeculectomy are effective in reducing intraocular pressure and can maintain the function of filtering blebs well.There are no statistically significant differences in the intraocular pressure reduction between the two approaches. The double incision approach is superior in minimizing the corneal endothelial cells loss compared to the single incision approach.
