超声乳化人工晶体植入联合房角分离术治疗闭角型青光眼合并老年性白内障的疗效分析  

Clinical analysis of treating angle-closure glaucoma complicated with senile cataract with phacoemulsification combined with goniosynechialysis

作　　者：李莫东[1] 刘亚男[1] 秦渊[1] 李金金[1] 

机构地区：[1]安徽省阜阳市人民医院眼科,236004

出　　处：《蚌埠医学院学报》2013年第1期68-70,共3页Journal of Bengbu Medical College

摘　　要：目的:观察超声乳化人工晶体植入联合房角粘连分离术治疗闭角型青光眼的疗效以及术后房角形态的改变。方法:对确诊为急、慢性闭角型青光眼,且伴有不同程度白内障的患者60例(62眼)采用超声乳化人工晶体植入联合房角分离术治疗,对手术前后的视力、眼压、视野、中央前房深度、房角形态进行对照观察。结果:术后随访33个月,58眼视力较术前有明显提高。62眼术前前房深度(1.564±0.283)mm,术后前房深度(3.142±0.185)mm,前房深度均加深。59眼术前眼压(22.42±3.53)mmHg,术后眼压(13.52±3.24)mmHg,术后眼压明显降低。术后1个月和3个月随访85%的房角完全或部分开放。结论:对于房角粘连≤270°的青光眼超声乳化联合房角分离术是一种有效的临床选择,其并发症少,视力提高,舒适度好。Objective ：To observe the effects and morphological changes of corner of treating angle-closure glaucoma complicated with senile cataract with phacoemulsification combined with goniosynechialysis. Methods：Sixty patients （62 eyes） suffering from acute or chronic angle-closure glaucoma complicated with varying degrees senile cataract were selected. The eyesight, intraocular pressure, vision, depth of central anterior chamber and corner morphology of all eyes were compared preoperation and postoperation. Results： All patients were followed up for 33 months, the eyesight of 58 eyes were obviously improved after operation. The depth of anterior chamber of 62 eyes was deepened, the depth preoperation and postoperation were （ 1. 564 ± 0. 283 ） and （ 3. 142 ± 0.185 ） ram, respectively. The intraocular pressure of 59 eyes were obviously decreased after operation, the intraocular pressure preoperation and postoperation were （22.42 ± 3.53 ） and （13.52 ± 3.24） mmHg, respectively. 85 percent of the corners were fully or partially open in postoperative 1 and 3 months. Conclusions：Phacoemulsification combined with goniosynechialysis is an effective mothed to treat glaucoma with less than or equal to 270 degrees of goniosynechia,which is fewer complications, raising eyesight and comfort.

关 键 词：青光眼 闭角型 白内障 超声乳化 房角分离 

分 类 号：R775.2[医药卫生—眼科] R776.1[医药卫生—临床医学]