国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
9期
1590-1592
,共3页
超声乳化%房角分离%急性闭角型青光眼%白内障%并发症
超聲乳化%房角分離%急性閉角型青光眼%白內障%併髮癥
초성유화%방각분리%급성폐각형청광안%백내장%병발증
phacoemulsification%goniosynechialysis%acute angle-closure glaucoma%cataract%complication
目的：观察白内障超声乳化人工晶状体植入联合房角分离术治疗急性闭角型青光眼合并白内障的疗效。<br> 方法：收集2009-10/2014-06急性闭角型青光眼合并白内障40例52眼,手术均采用颞侧透明角膜切口,白内障超声乳化人工晶状体植入联合房角分离术,术后随访6 mo。<br> 结果：术后最佳矫正视力较术前显著提高(P<0.01)；患者术后6mo眼压平均为15.76依2.09mmHg,较术前用药前后眼压相比均显著下降(P<0.01)；术后患者房角均较术前增宽,房角粘连关闭象限不同程度开放；术前前房深度为1.97依0.29mm,术后增加到2.83依0.35mm,差异有显著性(P<0.05)；未发生恶性青光眼、后囊膜破裂等并发症；所有术眼人工晶状体均在晶状体囊袋内,未出现偏位、夹持。结论：白内障超声乳化吸除联合房角分离术可有效降低眼压,提高视力,为急性闭角型青光眼同时合并白内障患者安全有效的治疗途径。
目的：觀察白內障超聲乳化人工晶狀體植入聯閤房角分離術治療急性閉角型青光眼閤併白內障的療效。<br> 方法：收集2009-10/2014-06急性閉角型青光眼閤併白內障40例52眼,手術均採用顳側透明角膜切口,白內障超聲乳化人工晶狀體植入聯閤房角分離術,術後隨訪6 mo。<br> 結果：術後最佳矯正視力較術前顯著提高(P<0.01)；患者術後6mo眼壓平均為15.76依2.09mmHg,較術前用藥前後眼壓相比均顯著下降(P<0.01)；術後患者房角均較術前增寬,房角粘連關閉象限不同程度開放；術前前房深度為1.97依0.29mm,術後增加到2.83依0.35mm,差異有顯著性(P<0.05)；未髮生噁性青光眼、後囊膜破裂等併髮癥；所有術眼人工晶狀體均在晶狀體囊袋內,未齣現偏位、夾持。結論：白內障超聲乳化吸除聯閤房角分離術可有效降低眼壓,提高視力,為急性閉角型青光眼同時閤併白內障患者安全有效的治療途徑。
목적：관찰백내장초성유화인공정상체식입연합방각분리술치료급성폐각형청광안합병백내장적료효。<br> 방법：수집2009-10/2014-06급성폐각형청광안합병백내장40례52안,수술균채용섭측투명각막절구,백내장초성유화인공정상체식입연합방각분리술,술후수방6 mo。<br> 결과：술후최가교정시력교술전현저제고(P<0.01)；환자술후6mo안압평균위15.76의2.09mmHg,교술전용약전후안압상비균현저하강(P<0.01)；술후환자방각균교술전증관,방각점련관폐상한불동정도개방；술전전방심도위1.97의0.29mm,술후증가도2.83의0.35mm,차이유현저성(P<0.05)；미발생악성청광안、후낭막파렬등병발증；소유술안인공정상체균재정상체낭대내,미출현편위、협지。결론：백내장초성유화흡제연합방각분리술가유효강저안압,제고시력,위급성폐각형청광안동시합병백내장환자안전유효적치료도경。
AIM: To observe the efficacy of phacoemulsification with intraocular lens ( IOL ) implantation combined with goniosynechialysis in treating acute primary angle -closure glaucoma with cataract. <br> METHODS:Fifty-two eyes of 40 patients (52 eyes) from October 2009 to June 2014 in our department with acute primary angle-closure glaucoma combined with cataract were included in this study. All patients were undergone phacoemulsification with IOL implantation combined with goniosynechialysis through clear corneal incision at the temporal side and were followed up for 6mo. <br> RESULTS: Best corrected visual acuity was improved after surgery (P<0. 01). The mean intraocular pressure ( IOP ) at 6mo after surgery was 15. 76 ± 2. 09mmHg, significantly lower than preoperative IOP ( P < 0. 01 ). Postoperative chamber angles were all wider than those after the surgery, and the closed quadrant of chamber angle adhesion opened in different degree. Preoperative anterior chamber depth was 1. 97±0. 29mm, postoperative anterior chamber depth increased to 2. 83±0. 35mm, and there was significant difference for the change (P<0. 05). Malignant glaucoma and posterior capsule rupture was not observed during the follow-up. All IOL of operation eyes were in lens capsular bag, and the situation of deviation and clamping did not appear. <br> CONCLUSION: Phacoemulsification with IOL implantation combined with goniosynechialysis is a safe and effective treatment for acute primary angle-closure glaucoma combined with cataract in decreasing IOP and improving visual acuity.
