原发性闭角型青光眼晶状体摘除术后前房深度及房角形态的临床观察  

Clinical study on both of the anterior chamber depth and anterior chamber angle of the primary angle closure glaucoma by phacoemulsification with foldable posterior chamber intraocular lens implantation

作　　者：肖文玮 李春霞[1] 秦瑜[1] 

机构地区：[1]上海市中西医结合医院眼科,200082

出　　处：《临床眼科杂志》2009年第6期506-507,共2页Journal of Clinical Ophthalmology

摘　　要：目的观察白内障超声乳化吸除人工晶状体植入术治疗合并有白内障的原发性闭角型青光眼患者术前、术后前房深度及房角形态的改变。方法回顾分析2005年5月至2008年3月收住我院资料完整的35例(38只眼)原发性闭角型青光眼患者,均有不同程度的晶状体混浊。患者入院后均行超声乳化白内障吸除联合后房型折叠式人工晶状体植入术。术后随访3～24个月(平均16.2±1.6)。对手术前后的房角形态、眼压、中央前房深度及视力进行对照观察。结果超声乳化术后眼压较术前明显下降,中央前房加深,原来狭窄的房角增宽,关闭的房角部分开放。结论对于合并有白内障的闭角型青光眼的治疗,行白内障超声乳化吸除折叠式人工晶状体植入术能有效地降低眼压,开放房角,加深前房,提高视力,与滤过性手术相比,手术并发症少,安全有效。Objective To investigate the influence on both the anterior chamber depth and anterior chamber angle for primary closed-angle glaucoma by phacoemulsification with foldable posterior chamber intraocular lens implantation.Methods Phacoemulsification with posterior chamber foldable intraocular lens implantation was performed in 35 cases （38 eyes） of acute or chronic primary closed-angle glaucoma with cataract. The changes of visual acuity,intraocular pressure,central anterior chamber depth and anterior chamber angle were observed after operation.Results Compared with those before operation,the postoperative best corrected visual acuity and anterior chamber depth were improved,the intraocular pressure was reduced,and the closed chamber angle was partially reopened.Conclusion Phacoemulsification with posterior chamber foldable intraocular lens implantation not only improves the visual acuity but also controls the intraocular pressure,and can be a valuable method for treating primary closed-angle glaucoma with cataract.

关 键 词：青光眼 白内障 超声乳化 前房深度 房角形态 

分 类 号：R779.6[医药卫生—眼科]