国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
9期
1529-1531
,共3页
超声乳化%Ex-PRESS引流器%开角型青光眼%白内障
超聲乳化%Ex-PRESS引流器%開角型青光眼%白內障
초성유화%Ex-PRESS인류기%개각형청광안%백내장
phacoemulsification%Ex - PRESS implantation%open angle glaucoma%cataract
目的：探讨超声乳化联合Ex-PRESS引流器治疗开角型青光眼合并白内障的应用效果。<br> 方法：采用前瞻性研究方案,将51例63眼开角型青光眼合并白内障患者随机分为两组,对照组25例32眼采用超声乳化联合小梁切除术进行治疗,观察组26例31眼采用超声乳化联合Ex-PRESS引流进行治疗；对比两组患者的临床疗效、视力改善水平及眼压控制结果,并完成为期3~6 mo随访,观察并发症发生情况。<br> 结果：处理因素和时间因素对患者的眼压均有影响(P<0.01),且两者之间不存在交互作用(P>0.05)。治疗后3mo,两组患者的最佳矫正视力无统计学差异(P>0.05),但观察组的临床疗效优于对照组,并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。<br> 结论：超声乳化联合Ex-PRESS引流器治疗开角型青光眼合并白内障疗效显著、安全可靠。
目的：探討超聲乳化聯閤Ex-PRESS引流器治療開角型青光眼閤併白內障的應用效果。<br> 方法：採用前瞻性研究方案,將51例63眼開角型青光眼閤併白內障患者隨機分為兩組,對照組25例32眼採用超聲乳化聯閤小樑切除術進行治療,觀察組26例31眼採用超聲乳化聯閤Ex-PRESS引流進行治療；對比兩組患者的臨床療效、視力改善水平及眼壓控製結果,併完成為期3~6 mo隨訪,觀察併髮癥髮生情況。<br> 結果：處理因素和時間因素對患者的眼壓均有影響(P<0.01),且兩者之間不存在交互作用(P>0.05)。治療後3mo,兩組患者的最佳矯正視力無統計學差異(P>0.05),但觀察組的臨床療效優于對照組,併髮癥髮生率明顯低于對照組,差異有統計學意義(P<0.05)。<br> 結論：超聲乳化聯閤Ex-PRESS引流器治療開角型青光眼閤併白內障療效顯著、安全可靠。
목적：탐토초성유화연합Ex-PRESS인류기치료개각형청광안합병백내장적응용효과。<br> 방법：채용전첨성연구방안,장51례63안개각형청광안합병백내장환자수궤분위량조,대조조25례32안채용초성유화연합소량절제술진행치료,관찰조26례31안채용초성유화연합Ex-PRESS인류진행치료；대비량조환자적림상료효、시력개선수평급안압공제결과,병완성위기3~6 mo수방,관찰병발증발생정황。<br> 결과：처리인소화시간인소대환자적안압균유영향(P<0.01),차량자지간불존재교호작용(P>0.05)。치료후3mo,량조환자적최가교정시력무통계학차이(P>0.05),단관찰조적림상료효우우대조조,병발증발생솔명현저우대조조,차이유통계학의의(P<0.05)。<br> 결론：초성유화연합Ex-PRESS인류기치료개각형청광안합병백내장료효현저、안전가고。
AIM: To explore the clinical effect of phacoemulsification combined with Ex - PRESS implantation in the treatment of primary open angle glaucoma with cataract. <br> METHODS: The 51 patients ( 63 eyes ) with primary open angle glaucoma with cataract were divided into 2 groups according to a prospective research programme. Twenty - five cases ( 32 eyes ) were treated by phacoemulsification combined with trabeculectomy in the contol group, and 26 cases ( 31 eyes ) were treated by phacoemulsification combined with Ex - PRESS implantation in the observation group. The clinical effect, level of vision improvement, and result of controlling intraocular pressure were compared, at the same time, the follow-up of 3 ~6mo was completed to observe the occurrence of complications. <br> RESULTS: The treatment method and detecting time were both showed the influence on the intraocular pressure of patients ( P < 0. 01 ), and there was no interactional effect between two factors (P>0. 05). At 3mo after treatment, there was no significant difference for best corrected visual acuity ( BCVA) between groups ( P>0. 05), but the clinical efficacy of the observation group was better than that of the control group. The complication rate of the observation group was lower than that of the control group, and there was significant difference between two groups (P<0. 05). <br> CONCLUSION: Phacoemulsification combined with Ex-PRESS implantation has high curative effect and security in the treatment of primary open angle glaucoma with cataract.
