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
7期
523-526
,共4页
青光眼,闭角型,原发性%白内障%晶状体超声乳化%前房角分离术
青光眼,閉角型,原髮性%白內障%晶狀體超聲乳化%前房角分離術
청광안,폐각형,원발성%백내장%정상체초성유화%전방각분리술
Glaucoma,angle closure,primary%Cataract%Phacoemulsification%Goniosynechialysis
目的：观察晶状体超声乳化联合360°前房角分离术治疗合并白内障的原发性闭角型青光眼的临床疗效及安全性。方法回顾伴有老年性白内障的原发性闭角型青光眼46例(58眼),行透明角膜切口超声乳化人工晶状体植入联合360°前房角分离术,观察术后眼压控制情况、用药情况、最佳矫正视力、中央前房深度和前房角等。随访时间6个月。结果术后6个月眼压均较术前下降,术后用降眼压药物平均(0.13±0.44)种,较术前的(1.31±0.76)种减少。36眼(62.1%)术后3个月最佳矫正视力提高,36眼(62.1%)最佳矫正视力>0.5。手术前后前房深度比较差异有统计学意义(t=-8.754,P=0.00)。术后周边前房角粘连较术前减少9眼,粘连范围无明显变化者10眼。结论联合手术在降低眼压的同时还能加深前房,开放前房角且提高视力,而且可以减少并发症的发生。
目的：觀察晶狀體超聲乳化聯閤360°前房角分離術治療閤併白內障的原髮性閉角型青光眼的臨床療效及安全性。方法迴顧伴有老年性白內障的原髮性閉角型青光眼46例(58眼),行透明角膜切口超聲乳化人工晶狀體植入聯閤360°前房角分離術,觀察術後眼壓控製情況、用藥情況、最佳矯正視力、中央前房深度和前房角等。隨訪時間6箇月。結果術後6箇月眼壓均較術前下降,術後用降眼壓藥物平均(0.13±0.44)種,較術前的(1.31±0.76)種減少。36眼(62.1%)術後3箇月最佳矯正視力提高,36眼(62.1%)最佳矯正視力>0.5。手術前後前房深度比較差異有統計學意義(t=-8.754,P=0.00)。術後週邊前房角粘連較術前減少9眼,粘連範圍無明顯變化者10眼。結論聯閤手術在降低眼壓的同時還能加深前房,開放前房角且提高視力,而且可以減少併髮癥的髮生。
목적：관찰정상체초성유화연합360°전방각분리술치료합병백내장적원발성폐각형청광안적림상료효급안전성。방법회고반유노년성백내장적원발성폐각형청광안46례(58안),행투명각막절구초성유화인공정상체식입연합360°전방각분리술,관찰술후안압공제정황、용약정황、최가교정시력、중앙전방심도화전방각등。수방시간6개월。결과술후6개월안압균교술전하강,술후용강안압약물평균(0.13±0.44)충,교술전적(1.31±0.76)충감소。36안(62.1%)술후3개월최가교정시력제고,36안(62.1%)최가교정시력>0.5。수술전후전방심도비교차이유통계학의의(t=-8.754,P=0.00)。술후주변전방각점련교술전감소9안,점련범위무명현변화자10안。결론연합수술재강저안압적동시환능가심전방,개방전방각차제고시력,이차가이감소병발증적발생。
Objective To observe the clinical therapeutic effects and safety of phacoemulsification combined with goniosynechialysis for primary angle closure glaucoma with cataract. Methods A retrospective study was performed on 58 eyes of 46 cases who suffered from primary angle-closure glaucoma with cataract. All patients were treated with phacoemulsification combined with goniosynechialysis. Intraocular pressure(IOP), medications usage, the best corrected visual acuity(BCVA), central anterior chamber( CAC) depth, anterior chamber angle and postoperative complications were recorded for all patients. The period of follow-up was 6 months. Results Six months after surgery, postoperative IOP were less than the preoperative ones. Postoperatively, the average number of medicine for adjurant therapy was (0. 15 ± 0. 44), which was less than the preoperative one (0. 31 ± 0. 76). BCVA of 36 eyes (62. 1%) were more than 0. 5 after operation which was better than that before operation. Preoperative and postoperative CAC depth were ( 1. 81 ± 0. 32 ) mm and ( 3. 45 ± 0. 56 ) mm respectively. The difference had statistical significance. Peripheral anterior synechiae( PAS) in 9 eyes were cured after operation and stayed unchanged in 10 eyes. Conclusion Combined surgery can not only control IOP and improve BCVA,but also deepen anterior chamber and open anterior chamber angle, which is an effective and safe method for patients suffering from primary angle-closure glaucoma with cataract.
