超声乳化联合房角分离术治疗急性闭角型青光眼持续高眼压的临床观察  

Clinical Study of Phacoemulsification Combined with Goniosynechialysis in the Treatment of Acute Angle-closure Glaucoma with Continuous High Intraocular Pressure

作　　者：郑东健[1] 梁纳[1] 马胜生[1] 袁永刚[1] 谢志翔[2] 

机构地区：[1]广州市红十字会医院眼科,510220 [2]广州市红十字会医院急诊科,510220

出　　处：《岭南急诊医学杂志》2011年第3期204-205,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:探讨急性闭角型青光眼(ACG)在持续高眼压状态下行白内障超声乳化吸出联合房角分离术(Phaco-GSL)的临床疗效。方法:对40例40眼持续高眼压状态下的急性ACG患者行Phaco-GSL,术后随访6-24月,观察术后眼压、前房、视力的变化。结果:术前平均眼压(58.36±18.25)mmHg,术后7天降至(13.65±7.22)mmHg(P<0.05);中央前房深度由术前(1.66±0.41)mm增加到术后(3.12±0.18)mm(P<0.05);术后最佳矫正视力较术前明显改善。结论:急性ACG持续高眼压状态下行Phaco-GSL可安全、有效地控制眼压并提高视力。Objective：To investigate clinical effect of phacoeinulsification combined with goniosyneehialysis （Phaco-GSL） in the treatment of acute angle-closure glaucoma （AGC） with continuous high intraocular pressure （IOP）. Methods： 40 cases （40 eyes） of AGC with continuous high IOP were treated by Phaco-GSL. The mean follow-up duration was 6-24 months. The IOP, anterior chamber and visual acuity were determined. Results： The average IOP was decreased from a pre-operative of （58.36±18.25） mmHg to a postoperative 7 day of （13.65±7.22） mmHg （P〈0.05）. The depth of anterior chamber was deepened from a pre-operative of （1.66±0.41 ）mm to a postoperative of （3.12±0.18）mm（P〈0.05）. The postoperative best corrected visual acuity was significantly improved. Conclusion： Phaco-GSL is effective and safe in managing acute AGC with continuous high lOP.

关 键 词：白内障超声乳化吸出术 房角分离术 青光眼 高眼压 

分 类 号：R779.6[医药卫生—眼科]