CAJ | 학술논문

目的：探讨超声乳化白内障吸出联合后房型人工晶体植入术治疗急性闭角型青光眼的临床疗效。方法回顾分析急性闭角型青光眼患者30例32眼，均伴有不同程度的晶状体混浊，入院后行超声乳化白内障吸出联合后房型人工晶体植入术。观察手术前后眼压、前房深度、前房角、视力及术中术后并发症，随访6～12个月。结果术中未出现明显的并发症，术后眼压稳定，最佳矫正视力均有提高。术后1d、1周、3个月中央前房深度（ACD）、房角开放距离500（AOD500）、小梁虹膜夹角（TIA）与术前相比，差异均具有显著性（P＜0．05），角膜内皮细胞计数与术前相比，差异无显著性（ P＞0．05）。结论单纯行超声乳化白内障吸出联合后房型人工晶体植入术是治疗急性闭角型青光眼合并白内障的有效手术方法之一，具有显著的降压和增视效果。
목적：탐토초성유화백내장흡출연합후방형인공정체식입술치료급성폐각형청광안적림상료효。방법회고분석급성폐각형청광안환자30례32안，균반유불동정도적정상체혼탁，입원후행초성유화백내장흡출연합후방형인공정체식입술。관찰수술전후안압、전방심도、전방각、시력급술중술후병발증，수방6～12개월。결과술중미출현명현적병발증，술후안압은정，최가교정시력균유제고。술후1d、1주、3개월중앙전방심도（ACD）、방각개방거리500（AOD500）、소량홍막협각（TIA）여술전상비，차이균구유현저성（P＜0．05），각막내피세포계수여술전상비，차이무현저성（ P＞0．05）。결론단순행초성유화백내장흡출연합후방형인공정체식입술시치료급성폐각형청광안합병백내장적유효수술방법지일，구유현저적강압화증시효과。
Objective To observe the efficacy of phacoemulsification combined with posterior chamber in-traocular lens implantation in treating angle-closure glaucoma .Methods Retrospective analysis of patients with acute angle-closure glaucoma,32 eyes of 30 cases,all with varying degrees of lens opacity.After admission,all patients underwentphacoemulsification combined with posterior chamber intraocular lens implantation .Intraocular pressure(IOP),anteriorchamber angle,anterior chamber depth and visual acuity before and after operation as well as intraoperative andpostoperative complications were observed.The follow-up time was 6 to 12 months.Resluts Significant complicationsdidn,tappear in surgery.After operarion,IOP stabled and the best corrected visual acuity improved ;1 day,1 week and 3months after surgery,the differences of central anterior chamber depth (ACD),angle opening distance 500(AOD500)and trabecular iris angle(TIA) compared with preoperative were statistically significant (P <0.05),while the differenceof corneal endothelial cells was not statistically significant (P >0.05).Conclusion Phacoemulsification combined withposterior chamber intraocular lens implantation is one of the effective treatment of acute angle -closure glaucoma and cataract,can reduce intraocular pressure and improve visual acuity significantly .