CAJ | 학술논문

目的：：研究超声乳化白内障吸除术在临床闭角型青光眼中的应用价值。方法：研究分析本组60例82眼治疗前与治疗后患者的最佳矫正视力、前房深度、眼压、房角宽度以及不良反应等情况。结果：本组60例82眼与治疗前比较,患者治疗后的最佳矫正视力明显得到提高,两者比较差异有统计学意义(P<0.05)；患者治疗前的前房深度为2.0±0.3mm,治疗后的前房深度为4.4±1.0mm,患者治疗后的前房深度与治疗前比较明显提高,两者比较差异有统计学意义(P<0.05)；患者的眼压在术后较长时间内得到有效的控制,与治疗前的差异有统计学意义(P<0.05)；患者治疗后的房角宽度与治疗前比较明显增加,两者比较差异有统计学意义(P<0.05)；经治疗以后出现5眼角膜轻度水肿,3眼瞳孔散大,1眼虹膜萎缩,无1例患者出现视网膜脱落。结论：超声乳化白内障吸除术治疗闭角型青光眼具有较高的应用价值,可以有效矫正患者的视力,改善患者前房深度与房角宽度,不良反应发生率小。
목적：：연구초성유화백내장흡제술재림상폐각형청광안중적응용개치。방법：연구분석본조60례82안치료전여치료후환자적최가교정시력、전방심도、안압、방각관도이급불량반응등정황。결과：본조60례82안여치료전비교,환자치료후적최가교정시력명현득도제고,량자비교차이유통계학의의(P<0.05)；환자치료전적전방심도위2.0±0.3mm,치료후적전방심도위4.4±1.0mm,환자치료후적전방심도여치료전비교명현제고,량자비교차이유통계학의의(P<0.05)；환자적안압재술후교장시간내득도유효적공제,여치료전적차이유통계학의의(P<0.05)；환자치료후적방각관도여치료전비교명현증가,량자비교차이유통계학의의(P<0.05)；경치료이후출현5안각막경도수종,3안동공산대,1안홍막위축,무1례환자출현시망막탈락。결론：초성유화백내장흡제술치료폐각형청광안구유교고적응용개치,가이유효교정환자적시력,개선환자전방심도여방각관도,불량반응발생솔소。
? AlM: To study the application value of phacoemulsification in clinical treatment of angle-closure glaucoma.?METHODS:A total of 60 cases ( 82 eyes ) , the best corrected visual acuity, anterior chamber depth, intraocular pressure, width of chamber angle and adverse reaction of patients were researched and analysed before and after treatment.?RESULTS:ln this group, 60 cases (82 eyes) compared with that before treatment, the best corrected visual acuity in patients after treatment significantly improved, with significant difference between the two groups ( P<0. 05 ); anterior chamber depth of patients before treatment were 2. 0±0. 3mm, anterior chamber depth after treatment was 4. 4 ± 1. 0mm, treatment of patients with anterior chamber depth comparison significantly improved after treatment, with statistically significant difference between the two groups ( P<0. 05 ); lOP in patients with postoperative effective control over an extended period, the difference before treatment was statistically significant ( P<0. 05 ); the width of chamber angle after treatment compared with before treatment significantly increased, with statistically significant difference between the two groups ( P < 0. 05 ); after treatment by the emergence of 5 corneal edema, 3 mydriasis, an iris atrophy, no one cases of retinal detachment.?CONCLUSlON: Phacoemulsificationin the treatment of angle - closure glaucoma has a high value, can be effectively corrected visual acuity, improve patient anterior chamber angle width and depth, a small incidence of adverse reactions.