中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2015年
1期
44-47
,共4页
鲍迅%臧涵怡%孙超%姚勇
鮑迅%臧涵怡%孫超%姚勇
포신%장함이%손초%요용
白内障%青光眼,闭角型,原发性%超声乳化吸出术%前房角分离术
白內障%青光眼,閉角型,原髮性%超聲乳化吸齣術%前房角分離術
백내장%청광안,폐각형,원발성%초성유화흡출술%전방각분리술
Cataract%Glaucoma,angle-closure,primary%Phacoemulsification%Goniosynechialysis
目的 评价Volk前房角镜在超声乳化联合前房角分离术中的应用效果.方法 原发性闭角型青光眼(PACG)伴白内障行超声乳化联合前房角分离术中应用Volk前房角镜440例(558眼),分析其临床资料.对手术前后的视力、眼压、前房角状态、中央前房深度、并发症等进行对照观察.结果 术后97.67％的眼视力较术前提高.术前用药后眼压(25.36±2.79) mmHg,术后降至(13.02±3.86) mmHg,(1 mmHg =0.133 kPa),差异有统计学意义(t=12.66,P＜0.05).术前前房角关闭的象限术后有不同程度的开放,原先粘连的前房角已分离.术前平均中央前房深度为(2.11±0.53)mm,术后增加至(3.02 ±0.44) mm,差异有统计学意义(t=11.58,P＜0.05).术中术后并发症:9眼(1.6％)术中发生后囊破裂,但均未发生晶状体核脱落于玻璃体腔等严重并发症.72眼(12.9％)术后轻度角膜水肿,经保守治疗均恢复正常.未出现角膜内皮失代偿或视网膜脱离等严重并发症.结论 对于PACG伴白内障,且前房角关闭＜180°的患者,超声乳化联合Volk前房角镜下前房角分离术能够有效打开关闭的前房角,加深前房,控制眼压,手术针对性强,前房角分离效果观察及时,而且并发症少.
目的 評價Volk前房角鏡在超聲乳化聯閤前房角分離術中的應用效果.方法 原髮性閉角型青光眼(PACG)伴白內障行超聲乳化聯閤前房角分離術中應用Volk前房角鏡440例(558眼),分析其臨床資料.對手術前後的視力、眼壓、前房角狀態、中央前房深度、併髮癥等進行對照觀察.結果 術後97.67％的眼視力較術前提高.術前用藥後眼壓(25.36±2.79) mmHg,術後降至(13.02±3.86) mmHg,(1 mmHg =0.133 kPa),差異有統計學意義(t=12.66,P＜0.05).術前前房角關閉的象限術後有不同程度的開放,原先粘連的前房角已分離.術前平均中央前房深度為(2.11±0.53)mm,術後增加至(3.02 ±0.44) mm,差異有統計學意義(t=11.58,P＜0.05).術中術後併髮癥:9眼(1.6％)術中髮生後囊破裂,但均未髮生晶狀體覈脫落于玻璃體腔等嚴重併髮癥.72眼(12.9％)術後輕度角膜水腫,經保守治療均恢複正常.未齣現角膜內皮失代償或視網膜脫離等嚴重併髮癥.結論 對于PACG伴白內障,且前房角關閉＜180°的患者,超聲乳化聯閤Volk前房角鏡下前房角分離術能夠有效打開關閉的前房角,加深前房,控製眼壓,手術針對性彊,前房角分離效果觀察及時,而且併髮癥少.
목적 평개Volk전방각경재초성유화연합전방각분리술중적응용효과.방법 원발성폐각형청광안(PACG)반백내장행초성유화연합전방각분리술중응용Volk전방각경440례(558안),분석기림상자료.대수술전후적시력、안압、전방각상태、중앙전방심도、병발증등진행대조관찰.결과 술후97.67％적안시력교술전제고.술전용약후안압(25.36±2.79) mmHg,술후강지(13.02±3.86) mmHg,(1 mmHg =0.133 kPa),차이유통계학의의(t=12.66,P＜0.05).술전전방각관폐적상한술후유불동정도적개방,원선점련적전방각이분리.술전평균중앙전방심도위(2.11±0.53)mm,술후증가지(3.02 ±0.44) mm,차이유통계학의의(t=11.58,P＜0.05).술중술후병발증:9안(1.6％)술중발생후낭파렬,단균미발생정상체핵탈락우파리체강등엄중병발증.72안(12.9％)술후경도각막수종,경보수치료균회복정상.미출현각막내피실대상혹시망막탈리등엄중병발증.결론 대우PACG반백내장,차전방각관폐＜180°적환자,초성유화연합Volk전방각경하전방각분리술능구유효타개관폐적전방각,가심전방,공제안압,수술침대성강,전방각분리효과관찰급시,이차병발증소.
Objective To evaluate the clinical efficacy of Volk gonioscope in phacoemulsification combined with goniosynechialysis.Methods Five hundreds and fifty-eight eyes of 440 patients with primary angle-closure glaucoma and cataract underwent the operation of phacoemulsification combind with goniosynechialysis under Volk gonioscope in our hospital.The vision,intraocular pressure(IOP),angle of anterior chamber,depths of the central anterior chamber and complications were observed before and after the surgery.Results The visual acuity was improved compared with that before surgery in 97.67％ eyes.The postoperative mean IOP was (13.02 ±3.86) mmHg,while the preoperative IOP after using drugs was (25.36± 2.79)mmHg,and the difference was statistically significant (t =12.66,P ＜0.05).Preoperative closured chamber angle opened after the surgery in different degrees.The preoperative mean central anterior chamber depth was (2.11 ± 0.53) mm,while the postoperative depth increased to (3.02 ± 0.44) mm,and the difference between them was statistically significant (t =11.58,P ＜ 0.05).The posterior capsule of lens ruptured during the surgery in 9 eyes but without lens fragments falling into vitreous.Mild corneal edema happened in 72 eyes,and returned to normal after conservative treatment.There was no serious complication such as corneal endothelial decompensation or retinal detachment.Conclusion The combined procedure of phacoemulsification combined with goniosynechialysis under Volk gonioscope is safe and effective for patients who have PACG and cataract with closed angle less than 180°
