晶状体摘出联合前房角分离术治疗继发性闭角型青光眼  

The evaluation of lens extraction combined with goniosynechialysis for secondary angle closure glaucoma

作　　者：杨立新 于晓晖[2] 刘岩 张淑娥 

机构地区：[1]山东省淄博市第一医院眼科,255200 [2]淄博市中心医院眼科

出　　处：《中华眼外伤职业眼病杂志》2011年第10期759-761,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察晶状体摘出联合前房角分离术治疗继发性闭角型青光眼术后前房角形态的改变，并评价其疗效。方法对36例（36眼）手术前后的视力、眼压、中央前房深度、前房角形态进行对照观察。结果术后随访6个月-3年，36眼视力均较前有明显提高。36眼前房深度变深，术前前房深度（1．612±0．354）mm，术后前房深度（3．214±0．277）mm。术后眼压降低，术前眼压（28．69±4．12）mmHg，术后眼压（14．07±3．48）mmHg。术后1个月和6个月前房角镜检查，前房角全部开放31眼（86．11％），部分开放5眼（13．89％）。随访至少6个月以上均未见前房角再次关闭或粘连范围扩大。结论晶状体摘出联合前房角分离术可有效治疗继发性闭角型青光眼。Objective To observe the change of anterior chamber angle of secondary angle closure glaucoma after lens extraction and goniosynechialysis surgery and evaluate the curative efficacy. Methods 36 patients （36 eyes） suffered with secondary angle closure glaucoma and cataract were treated with lens extraction and goniosynechialysis. The visual acuity, intraocular pressure, central anterior chamber depth and morphology of anterior chamber angle were obsrved and compared before and after the surgery. Results Patients were followed up for 6 months to 3 years after the surgery. The best corrected visual acuity was improved in all of 36 eyes. Anterior chamber was deepened in all of 36 eyes from （ 1. 612±0. 354） mm preop-eratively to （3. 214±0. 277） mm postoperatively. The intraocular pressures of 36 eyes were obviously reduced from preoperative mean of （28.69±4.12） mmHg to postoperative mean of （14.07±3.48 ） mmHg. The postoperative gonioscopy showed that anterior chamber angle was open at 1 month in 36 eyes, but 5 eyes remained synechia. The morphology of chamber angle did not changed followed at least 6 months after the surgery. Conclusion Lens extraction combined with goniosynechialysis are safe and effective to treat secondary angle closure glaucoma.

关 键 词：晶状体摘出术 前房角分离 改良 青光眼 闭角型 继发性 

分 类 号：R779.6[医药卫生—眼科]