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
8期
603-606
,共4页
白内障,青光眼术后%透明角膜切口%白内障手术,手法小切口%晶状体超声乳化术
白內障,青光眼術後%透明角膜切口%白內障手術,手法小切口%晶狀體超聲乳化術
백내장,청광안술후%투명각막절구%백내장수술,수법소절구%정상체초성유화술
Cataract,after anti-glaucoma surgery%Transparent corneal incision%Cataract surgery,manual,small incision%Phacoemulsification
目的 比较青光眼术后白内障两种手术方法的临床效果.方法 对67例(67眼)抗青光眼小梁切除术后的白内障,随机分成两组:A组34例,行颞侧巩膜隧道小切口手法白内障摘出及后房折叠人工晶状体植入术;B组33例,行透明角膜切口超声乳化吸出术后房折叠人工晶状体植入术.观察两组术后视力、眼压、角膜散光及并发症情况.结果 视力:术后1个月,A组矫正视力＞0.5者21眼(61.8％);B组矫正视力＞0.5者21眼(63.6％),两组比较差异无统计学意义(x2=0.03,P=0.91);眼压:A组有2眼出现一过性高眼压,B组有4眼出现一过性高眼压,术后应用降眼压药物后3d术眼均恢复正常,两组术后1个月眼压比较,差异无统计学意义(t=0.34,P=0.58);角膜散光:A组术后1周平均值明显大于B组,差异有统计学意义(t =6.58,P=0.00),术后1个月两组比较差异无统计学意义(t=1.42,P=0.18);并发症:两组术后均出现一定程度的术后并发症,发生率无明显差异.结论 青光眼术后的白内障两种手术均是安全有效的,透明角膜切口晶状体超声乳化是目前治疗白内障较好的手术方式,但手术设备及材料昂贵,对手术技巧有较高要求,而小切口手法白内障手术,操作容易,费用较低,适合基层医院开展,也是一种较好的治疗方式.
目的 比較青光眼術後白內障兩種手術方法的臨床效果.方法 對67例(67眼)抗青光眼小樑切除術後的白內障,隨機分成兩組:A組34例,行顳側鞏膜隧道小切口手法白內障摘齣及後房摺疊人工晶狀體植入術;B組33例,行透明角膜切口超聲乳化吸齣術後房摺疊人工晶狀體植入術.觀察兩組術後視力、眼壓、角膜散光及併髮癥情況.結果 視力:術後1箇月,A組矯正視力＞0.5者21眼(61.8％);B組矯正視力＞0.5者21眼(63.6％),兩組比較差異無統計學意義(x2=0.03,P=0.91);眼壓:A組有2眼齣現一過性高眼壓,B組有4眼齣現一過性高眼壓,術後應用降眼壓藥物後3d術眼均恢複正常,兩組術後1箇月眼壓比較,差異無統計學意義(t=0.34,P=0.58);角膜散光:A組術後1週平均值明顯大于B組,差異有統計學意義(t =6.58,P=0.00),術後1箇月兩組比較差異無統計學意義(t=1.42,P=0.18);併髮癥:兩組術後均齣現一定程度的術後併髮癥,髮生率無明顯差異.結論 青光眼術後的白內障兩種手術均是安全有效的,透明角膜切口晶狀體超聲乳化是目前治療白內障較好的手術方式,但手術設備及材料昂貴,對手術技巧有較高要求,而小切口手法白內障手術,操作容易,費用較低,適閤基層醫院開展,也是一種較好的治療方式.
목적 비교청광안술후백내장량충수술방법적림상효과.방법 대67례(67안)항청광안소량절제술후적백내장,수궤분성량조:A조34례,행섭측공막수도소절구수법백내장적출급후방절첩인공정상체식입술;B조33례,행투명각막절구초성유화흡출술후방절첩인공정상체식입술.관찰량조술후시력、안압、각막산광급병발증정황.결과 시력:술후1개월,A조교정시력＞0.5자21안(61.8％);B조교정시력＞0.5자21안(63.6％),량조비교차이무통계학의의(x2=0.03,P=0.91);안압:A조유2안출현일과성고안압,B조유4안출현일과성고안압,술후응용강안압약물후3d술안균회복정상,량조술후1개월안압비교,차이무통계학의의(t=0.34,P=0.58);각막산광:A조술후1주평균치명현대우B조,차이유통계학의의(t =6.58,P=0.00),술후1개월량조비교차이무통계학의의(t=1.42,P=0.18);병발증:량조술후균출현일정정도적술후병발증,발생솔무명현차이.결론 청광안술후적백내장량충수술균시안전유효적,투명각막절구정상체초성유화시목전치료백내장교호적수술방식,단수술설비급재료앙귀,대수술기교유교고요구,이소절구수법백내장수술,조작용역,비용교저,괄합기층의원개전,야시일충교호적치료방식.
Objective To compare the clinical effect of two kinds of operation for treating cataract after anti-glaucoma surgery.Methods Sixty-seven eyes of 67 cases with cataract after anti-glaucoma filtering surgery were randomly divided into two groups:group A and group B.Thirty-four patiens in group A were treated with manual small incision cataract extraction through temporal scleral tunnel and posterior chamber folding intraocular lens implantation.Thirty-three patients in group B were treated with clear corneal incision phacoemulsification and posterior chamber folding intraocular lens implantation.The vision before operation and 1 month after operation,intraocular pressure and complications after operation were observed.Results One month after operation,there were 21 eyes with corrected vision more than 0.5 (61.8％) in group A,and there were 21 eyes (63.6％) in group B.Between two groups,the difference was not statistically significant(x2 =0.03,P =0.91).There were 2 eyes with ocular hypertension symptoms in group A,and 4 eyes in group B.The IOP returned to normal after using IOP-lowering drugs in three days.The difference in intraocular pressure 1 month after the operation between two groups was not statistically significant(t =0.34,P =0.58).The average value of corneal astigmatism in group A was statistically significantly higher than that in group B in postoperative 1 week (t =6.58,P =0.00).There was no statistically significant difference in corneal astigmastism between two groups in postoperative 1 month (t =1.42,P =0.18).There were postoperative complications in both groups,however,there was no statistically significant difference in the number of cases.Conclusion Two kinds of operations for cataract after anti-glaucoma surgery are safe and effective.Now,transparent corneal incision phacoemulsification is a kind of ideal operation method in treating cataract after glaucoma surgery,but its operation equipment and materials are expensive and it needs higher request for surgical techniques.But temporal scleral tunnel manual small incision cataract operation in treating cataract after anti-glaucoma surgery is easy to operate with low cost and is suited for primary hosptial to carry out.
