国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
11期
1984-1986
,共3页
原发性闭角型青光眼%白内障%眼压%超声乳化术
原髮性閉角型青光眼%白內障%眼壓%超聲乳化術
원발성폐각형청광안%백내장%안압%초성유화술
primary angle-closure glaucoma%cataract%intraocular pressure%phacoemulsification
目的：：研究白内障超声乳化术联合不同术式治疗原发性闭角型青光眼( PACG)合并白内障的临床疗效及安全性。方法：PACG合并白内障患者34例47眼,分为两组：A组26眼(房角关闭粘连范围≤180°)行超声乳化术联合房角分离术,B组21眼(房角关闭粘连范围>180°)行超声乳化术联合小梁切除术。术后随访6mo,观察术后最佳矫正视力( BCVA)、眼压、前房深度、炎症反应、滤过泡及并发症。结果：两组患者末次随访眼压分别为14.37±4.83和15.86±3.74mmHg,均较术前显著下降(P<0.01),前房深度分别为3.53±0.37和3.63±0.35mm,较术前均显著加深( P<0.01),组间差异无统计学意义。两组BCVA中值分别为0.6和0.5,较术前提高。两组术后均未见明显的并发症。结论：选择白内障超声乳化术联合适合的青光眼术式治疗PACG,降眼压效果稳定,视力提高显著,术后并发症少,是有效安全的方法。
目的：：研究白內障超聲乳化術聯閤不同術式治療原髮性閉角型青光眼( PACG)閤併白內障的臨床療效及安全性。方法：PACG閤併白內障患者34例47眼,分為兩組：A組26眼(房角關閉粘連範圍≤180°)行超聲乳化術聯閤房角分離術,B組21眼(房角關閉粘連範圍>180°)行超聲乳化術聯閤小樑切除術。術後隨訪6mo,觀察術後最佳矯正視力( BCVA)、眼壓、前房深度、炎癥反應、濾過泡及併髮癥。結果：兩組患者末次隨訪眼壓分彆為14.37±4.83和15.86±3.74mmHg,均較術前顯著下降(P<0.01),前房深度分彆為3.53±0.37和3.63±0.35mm,較術前均顯著加深( P<0.01),組間差異無統計學意義。兩組BCVA中值分彆為0.6和0.5,較術前提高。兩組術後均未見明顯的併髮癥。結論：選擇白內障超聲乳化術聯閤適閤的青光眼術式治療PACG,降眼壓效果穩定,視力提高顯著,術後併髮癥少,是有效安全的方法。
목적：：연구백내장초성유화술연합불동술식치료원발성폐각형청광안( PACG)합병백내장적림상료효급안전성。방법：PACG합병백내장환자34례47안,분위량조：A조26안(방각관폐점련범위≤180°)행초성유화술연합방각분리술,B조21안(방각관폐점련범위>180°)행초성유화술연합소량절제술。술후수방6mo,관찰술후최가교정시력( BCVA)、안압、전방심도、염증반응、려과포급병발증。결과：량조환자말차수방안압분별위14.37±4.83화15.86±3.74mmHg,균교술전현저하강(P<0.01),전방심도분별위3.53±0.37화3.63±0.35mm,교술전균현저가심( P<0.01),조간차이무통계학의의。량조BCVA중치분별위0.6화0.5,교술전제고。량조술후균미견명현적병발증。결론：선택백내장초성유화술연합괄합적청광안술식치료PACG,강안압효과은정,시력제고현저,술후병발증소,시유효안전적방법。
Abstract?AlM: To investigate the clinical effects and safety of phacoemulsification combined with different glaucoma surgical procedures for primary angle-closure glaucoma ( PACG) coexisted with cataract.?METHODS: Thirty- four cases ( 47 eyes ) with PACG coexisted with cataract were divided into group A and group B. Group A was defined as the closed angle of anterior chamber was less than 180° and was treated with phacoemulsification combined with goniosynechialysis. Group B as the closed angle was more than 180° was treated with phacoemulsification combined with trabeculectomy. The follow - up period was 6mo. Postoperative best corrected visual acuity ( BCVA ) , intraocular pressure ( lOP ) , anterior chamber depth ( ACD) , filtration bleb and complications were observed.?RESULTS: The lOPs were 14. 37 ± 4. 83 and 15. 86 ± 3. 74mm Hg at final follow - up in group A and B respectively, which were significantly decreased compared with pre-surgery (P<0. 01). Similarly, the ACDs were 3. 53±0. 37 and 3. 63±0. 35mm in group A and B respectively, both deeper than those of pre-surgery ( P<0. 01). There was no statistically significant difference of lOP or ACD between group A and B. The median BCVAs were 0. 6 and 0. 5 respectively, increased markedly than those of pre - surgery. There were no serious complications.?CONCLUSlON:Phacoemulsification combined with anti-glaucoma surgery can get stable control on lOP, improve visual acuity, decrease the complication risk and is safe and effective.
