CAJ | 학술논문

目的：观察前房穿刺及白内障摘除治疗晶体溶解性青光眼的疗效。方法：对收住我院的38例晶体溶解性青光眼患者均先进行连续3-5天的前房穿刺及药物降眼压治疗，眼压降至30mmHg以下后，根据白内障核的不同硬度，分别进行白内障超声乳化或白内障囊外摘除手术。观察视力、角膜内皮情况及眼压情况。结果：38例患者术后视力均有不同的提高，眼压正常，角膜完全恢复透明。结论：前房穿刺及白内障摘除治疗晶体溶解性青光眼是安全有效的。但要根据不同的晶体情况选择不同的手术方式。
목적：관찰전방천자급백내장적제치료정체용해성청광안적료효。방법：대수주아원적38례정체용해성청광안환자균선진행련속3-5천적전방천자급약물강안압치료，안압강지30mmHg이하후，근거백내장핵적불동경도，분별진행백내장초성유화혹백내장낭외적제수술。관찰시력、각막내피정황급안압정황。결과：38례환자술후시력균유불동적제고，안압정상，각막완전회복투명。결론：전방천자급백내장적제치료정체용해성청광안시안전유효적。단요근거불동적정체정황선택불동적수술방식。
Objective: To observe the clinical efficacy of the Paracentesis of anterior chamber and cataract extraction for phacolytic glaucoma at high altitude.Methods:38 patients of phacolytic glaucoma were first for continuous 3 to 5 days of paracentesis of anterior chamber and drug effects in reatment,after intraocular pressure was belowed 30 mmhg,According to the different nucleus hardness,respectively for extracapsnlar cataract extraction or phacoemulsification.The changes of visual acuity, ocular pressure and corneal endothelial were studied.Results Improvement of postoperative visual was achieved for al patients ,with nomal ocular pressure and ful y transparent cornea.Conclusion The Paracentesis of anterior chamber and cataract extraction for phacolytic glaucoma were proved to be efficient and safe.But according to different crystals to choose different ways of operation.