超声乳化术治疗闭角型青光眼合并白内障的疗效  

Clinical observation of phacoemulsification in treatment of angle-closure glaucoma with cataract

作　　者：陈静[1] 罗丰年[1] 杜刚[1] 张磊[1] 

机构地区：[1]中国人民解放军第161医院眼科,中国湖北省武汉市430000

出　　处：《国际眼科杂志》2013年第2期311-312,共2页International Eye Science

摘　　要：目的:观察晶状体超声乳化联合后房型人工晶状体植入术治疗原发性闭角型青光眼的临床疗效。方法:对39例45眼原发性闭角型青光眼合并白内障患者行超声乳化后房型人工晶状体植入术,术后观察视力、眼压、中央前房深度和房角。术后随访3～24mo。结果:术后45眼视力均提高,其中33眼(73%)最佳矫正视力≥0.5。术后所有患者眼压明显降低(P<0.01),中央前房深度明显加深(P<0.01),房角增宽。结论:晶状体超声乳化术可有效治疗闭角型青光眼合并白内障,使眼压降低、前房加深、房角增宽、视力提高。AIM： To evaluate the effect of phacoemulsification with posterior chamber intraocular lens （PCIOL） implantation for primary angle-closure glaucoma with cataract. METHODS： Totally 39 cases （45 eyes） of angle-closure glaucoma with cataract were performed on phacoemulsification with PCIOL implantation. The visual acuity, intraocular pressure （10P）, anterior chamber depth （ ACD ） and chamber angle were observed postoperatively. All cases were followed up for 3 to 24 months. RESULTS： The best-corrected visual acuity improved in all patients and 33 eyes （73%） ≥0.5. The mean lOP was significantly decreased （P〈 0. 01 ）, the mean ACD was significantly increased （P 〈 0. 01 ）, and the anterior chamber angles were wider postoperatively. CONCLUSION ： Phacoemulsification with PCIOL implantation is effective and safe for primary angle- closure glaucoma with cataract. It can decrease the 10P, increase ACD and widen anterior chamber angles significantly.

关 键 词：晶状体超声乳化术 人工晶状体 原发性闭角型青 光眼 白内障 

分 类 号：R779.6[医药卫生—眼科]