激光周边虹膜成形术联合白内障超声乳化治疗急性闭角型青光眼疗效分析  

The effect of laser peripheral iridoplasty combined with phacoemulsification in treat of primary acute angle-closure glaucoma

作　　者：陈海英[1] 黄正如[1] 周卫文[1] 徐明[1] 王瑾瑜[1] 李函[1] 顾正[1] 

机构地区：[1]常熟市第二人民医院眼科,常熟215500

出　　处：《中国实用眼科杂志》2011年第8期775-778,共4页Chinese Journal of Practical Ophthalmology

基　　金：苏州市科技发展计划项目（SYSD2010021）

摘　　要：目的研究激光周边虹膜成形术（LPIP）和白内障超声乳化吸除（Phaco）联合人工晶状体植入术对原发性急性闭角型青光眼的治疗效果。方法对合并不同程度白内障的原发性闭角型青光眼急性发作患者54例61只眼随机分激光组（27例31只眼）和常规组（27例30只眼）。激光组行LPIP，常规组以常规药物控制眼压，而后均行Phaco和人工晶状体植入术。比较两组眼压控制效果、前房角开放状况、瞳孔纵向直径、裸眼视力等。结果两组治疗前的眼压差异无统计学意义（P〉0．05）；治疗后0．5h、1h、2h．4h，两组眼压的差异均具有统计学意义（P〈0．05）。Phaco联合人工晶状体植入术后1周、3月、6月，两组各时点眼压差异无统计学意义（P〉0．05）。Phaco联合人工晶状体植入术前、术后6月，两组前房角开放状况的差异均具统计学意义（P〈0．05）。Phaco联合人工晶状体植入术后6月两组瞳孔纵向直径、最佳矫正视力的差异有统计学意义（P〈0．05）。结论激光虹膜成形术联合白内障超声乳化吸除可更有效治疗原发性闭角型青光眼急性发作。Objective To investigate the effect of laser peripheral iridoplasty （LPIP） combined phacoemulsification （Phaco） on attack of primary angle-closure glaucoma （PACG）. Methods Sixty-one eyes of acute attack of PACG （54 consecutive cases） were divided into laser group （31 eyes of 27 cases） and routine group （30 eyes of 27 cases） randomly. Before phacoemulsification cataract extraction with intraoeular lens implantation, eyes of .laser group were performed LPIP while eyes of routine group were administered routine drugs to control intraocular pressure （IOP）. The effect of IOP depression, status of anterior chamber angle, perpendicular pupil diameter, and uncorrected visual acuity （UCVA） were compared between laser group and routine group. Results The mean IOP was no statistically difference between laser group and routine group pre-treated, but the mean IOP of laser group was reduced more rapidly than that of routine group. Ultrasound biomieroscopy discovered that LPIP could open closed anterior chamber angle more effectively. Compared with routine group, the perpen- dicular pupil diameter of laser group was smaller and the best corrective visual acuity of laser group was better at 6 months post-phacoemulsification. Conclusions LPIP Combined with phacoemulsification cataract extraction can treat primary acute angle-closure glaucoma more effectively.

关 键 词：原发性闭角型青光眼 激光周边虹膜成形术 白内障 超声乳化术 

分 类 号：R775.2[医药卫生—眼科]