CAJ | 학술논문

目的：分析总结青光眼白内障联合手术治疗急性闭角型青光眼合并白内障患者方法及疗效。方法对30例(30眼)急性闭角型青光眼合并白内障患者行晶状体超声乳化吸出、人工晶状体植入联合小梁切除术,观察术后反应、视力、眼压情况。结果术后平均眼压1个月、6个月、1年分别为(13.1±1.3)、(12.6±0.6)、(11.4±0.6)mm Hg(1 mm Hg=0.133 kPa),均较术前明显降低(P<0.01),且术后1年的随访中,均未再应用任何降眼压药物。30例(30眼)术后最佳矫正视力0.6~0.8者17例,0.4~0.5者10例,0.1~0.3者3例。结论青光眼白内障联合手术疗效确切,术前积极控制眼压,术后及时处理并发症,可获得良好疗效。
목적：분석총결청광안백내장연합수술치료급성폐각형청광안합병백내장환자방법급료효。방법대30례(30안)급성폐각형청광안합병백내장환자행정상체초성유화흡출、인공정상체식입연합소량절제술,관찰술후반응、시력、안압정황。결과술후평균안압1개월、6개월、1년분별위(13.1±1.3)、(12.6±0.6)、(11.4±0.6)mm Hg(1 mm Hg=0.133 kPa),균교술전명현강저(P<0.01),차술후1년적수방중,균미재응용임하강안압약물。30례(30안)술후최가교정시력0.6~0.8자17례,0.4~0.5자10례,0.1~0.3자3례。결론청광안백내장연합수술료효학절,술전적겁공제안압,술후급시처리병발증,가획득량호료효。
Objective To analyze and summarize method and curative effect of combined surgery for glaucoma and cataract in the treatment of acute angle-closure glaucoma complicated with cataract patients. Methods A total of 30 patients (30 eyes) with angle-closure glaucoma and complicated cataract received phacoemulsification, intraocular lens implantation and trabeculectomy in combined surgery. Their postoperative reactions, vision and intraocular pressure were observed.Results The average postoperative intraocular pressure in 1 month, 6 months and 1 year were respectively (13.1±1.3), (12.6±0.6), and (11.4±0.6) mm Hg (1 mm Hg=0.133 kPa). They were all obviously lower than that before operation (P<0.01). Follow-up for 1 year after operation showed no administration of any intraocular pressure-lowering agents. Among the 30 cases (30 eyes), 17 cases of them had the best corrected visual acuity as 0.6~0.8, 10 cases had it as 0.4~0.5, and 3 cases as 0.1~0.3.Conclusion Combined surgery for glaucoma and cataract provides precise effect. Active preoperative control of intraocular pressure and timely postoperative management of complications can provide good curative effect.