超声乳化吸除联合折叠IOL植入术治疗急性闭角型青光眼  

Effect of phacoemulsification with foldable intraocular lens implantation in eyes with acute angle-closure glaucoma

作　　者：赵鲁新[1] 翟洪[1] 

机构地区：[1]中国山东省淄博市中心医院眼科,255036

出　　处：《国际眼科杂志》2010年第5期957-959,共3页International Eye Science

摘　　要：目的:探讨超声乳化(Phacoemulsification,Phaco)联合折叠型人工晶状体植入术对急性闭角型青光眼的临床疗效。方法:选择>50岁患有急性闭角型青光眼伴有晶状体混浊的连续性患者20例23眼,行超声乳化联合折叠型人工晶状体植入术,比较手术前后视力和眼压的变化,超声生物显微镜(ultrasound biomicroscopy,UBM)检测手术前后前房深度(anterior chamber depth,ACD)和房角开放距离(an-gle opening distance,AOD500)的变化。结果:手术前视力和眼压是4.16±0.38和48.65±7.34mmHg,手术后视力和眼压为4.75±0.10和16.65±1.97mmHg;术前术后的前房深度为1.35±0.04mm和3.51±0.07mm,房角开放距离分别为225.09±12.43μm和511.18±12.20μm,手术前后比较差异有统计学意义(P<0.01)。结论:超声乳化联合人工晶状体植入术治疗急性闭角型青光眼安全、有效。AIM： To evaluate the clinicaI effects of phacoemulsification （phaco） with foldable intraocular lens （IOL） implantation in the treatment of acute angle-closure glaucoma. METHODS：Twenty consecutive patients 23 eyes were included in this study with acute angle-closure glaucoma and cataract, and phacoemulsification with foldable IOL implantation were performed. Visual acuity and intraocular pressure（IOP） were recorded pre- and postoperatively. The pre- and postoperative changes about the anterior chamber depth （ACD） and angle opening distance （AOD500） were detected by ultrasound biomicroscopy（UBM）. RESULTS：The mean visual acuity was increased from 416±0.38 of preoperative to 4.75±0.10 of postoperative, and IOP was reduced from 48.65±7.34mmHg to 16.65±197mmHg. ACD of pre- and postoperation were 1.35±004mm and 3.51±0.07mm, AOD500 of pre-and posto-peration were 225.09±12.43μm and 511.18±1220μm respectively,there was significant difference （P〈0.01）. CONCLUSION： Phacoemulsification with foldable IOL implantation is a safe and effective method to treat acute angle-closure glaucoma .

关 键 词：超声乳化 急性闭角型青光眼 人工晶状体 折 叠型 

分 类 号：R779.6[医药卫生—眼科]