超声乳化白内障摘除联合房角分离术治疗闭角青光眼合并白内障的初步临床研究  

Clinical study of phacoemulsification combined with goniosychialysis for glaucoma with cataract

作　　者：范峰[1] 潘绍新[1] 田静[1] 

机构地区：[1]安徽省淮北市人民医院眼科,235000

出　　处：《实用防盲技术》2012年第3期114-116,共3页Journal of Practical Preventing Blind

摘　　要：目的探讨白内障超声乳化摘除及人工晶体植入联合房角分离术治疗闭角型青光眼合并白内障的临床效果方法回顾性分析2009年10月至2011年6月我院收治的闭角型青光眼合并白内障共112例(120眼),应用白内障超声乳化摘除及人工晶体植入联合房角分离术,对房角关闭区域用粘弹剂和手指按压进行钝性分离。观察手术前后的房角及前房变化、视力、眼压及并发症情况,随访6月。结果均经统计学处理。结果 120眼手术顺利,术后追踪6月,全部患者术后视力提高,房角开放,中央前房加深,眼压控制良好,手术前后比较差异具有统计学意义。结论超声乳化白内障摘除联合房角分离术是治疗闭角型青光眼合并白内障的有效方法之一,但具体适应证尚待进一步探讨。Objetive To study clinical effect of phacoemulsification and goniosyehialysis for angle-closure glaucoma with cataract. Methods 120 eyes （ 112 cases ） underwent phacoemulsification and IOL implantation, combined with goniosyehialysis. The main outcome measures were pre-operation and post-operation change of anterior chamber angle, depth of anterior chamber, visual acuity, intraocular pressure and complications. 120 eyes were followed up within 6 months. Results The anterior chamber angles of all patients were open, the depth of central anterior chamber deepened again. The postoperative IOP were well controlled postoperatively compared with preoperatively （P〈0.05）. No sever complications occurred. Conclusion Phaeoemulsification combined with goniosychialysis is an effective surgery for angle-closure glaucoma with cataract, and the indication of the surgery should be explored further.

关 键 词：超声乳化白内障摘除术 房角分离 青光眼 白内障 

分 类 号：R779.6[医药卫生—眼科]