CAJ | 학술논문

目的：对比分析白内障摘除及小梁切除术式治疗老年急性闭角型青光眼的临床疗效及特点．方法：回顾性分析93例（98眼）老年急性闭角型青光眼患者的临床病例资料，行小梁切除术的39例（41眼）设为对照组，行白内障摘除的54例（57眼）设为观察组，治疗后随访6个月对比两组疗效．结果：观察组治疗后最佳矫正视力、眼压、前房深度等均治疗前明显改善，且均优于对照组，差异均有统计学意义（P＜0．05）．结论：白内障摘除术治疗伴白内障的老年急性闭角型青光眼疗效优于小梁切除术式，临床应用可根据适应症优先选择．
목적：대비분석백내장적제급소량절제술식치료노년급성폐각형청광안적림상료효급특점．방법：회고성분석93례（98안）노년급성폐각형청광안환자적림상병례자료，행소량절제술적39례（41안）설위대조조，행백내장적제적54례（57안）설위관찰조，치료후수방6개월대비량조료효．결과：관찰조치료후최가교정시력、안압、전방심도등균치료전명현개선，차균우우대조조，차이균유통계학의의（P＜0．05）．결론：백내장적제술치료반백내장적노년급성폐각형청광안료효우우소량절제술식，림상응용가근거괄응증우선선택．
AIM:To comparatively analyze the clinical effects and features of cataract extraction and trabeculectomy for elderly acute angle closure glaucoma.METHODS:We retrospectively analyzed clinical data of 93 cases (98 eyes)elderly patients with acute angle closure glaucoma.Regarding the 39 cases (41eyes) who had received trabeculectomy as contrast group,while the 54 cases (57eyes)with cataract extraction as observation group.The efficacy of two groups were compared after treatment six months follow-up.RESULTS:After treatment,the best corrected visual acuity,ocular pressure and anterior chamber depth of observation group improved a lot,which better than contrast group.The differences were statistically significant (P<0.05).CONCLU-SION:Cataract extraction for the treatment of elderly acute angle closure glaucoma with cataract is better than trabeculectomy.And in clinical,the cataract extraction could be considered firstly.