透明晶状体摘除治疗原发性闭角型青光眼  

Clear lens extraction for primary angle closure glaucoma

作　　者：满晓飞[1] 谭智勇[1] 梁远波[1] 

机构地区：[1]香港中文大学眼科与视觉科学学系

出　　处：《眼科》2013年第1期6-9,共4页Ophthalmology in China

摘　　要：晶状体在原发性闭角型青光眼(PACG)发病过程中起着至关重要的作用。其生物解剖学、临床及流行病学等越来越多的研究表明单独白内障超声乳化摘除术可以加深PACG的前房、开放房角,降低其眼压。近年来一些学者尝试采用透明晶状体摘除治疗PACG,但超声乳化手术适应证选择、术者技术操作水平、术后患者调节力损失、担心过度治疗以及成本效果等问题均是透明晶状体摘除术治疗PACG的争议点。The crystalline lens plays a pivotal role in the etiology of primary angle-closure glaucoma （PACG）. Recent anatomical, clinical and epidemiological studies revealed that lens extraction alone deepened the anterior chamber, widened the drainage angle and lowered the intraocular pressure in PACG. In recent years, clinicians have tried clear lens extraction in treating PACG, especially for those patients who were reluctant to accept the risk of complications of trabeculectomy. However, choice of surgical indication, the higher cost of phacoemulsification, the technical challenges of phacoemulsification, the loss of accommodation after surgery and the fear of over-treatment made the role of clear lens extraction as a treatment for PACG controversial. （Ophthalmol CHN, 2013, 22： 6-9）

关 键 词：原发性闭角型青光眼 透明晶状体 超声乳化术 

分 类 号：R779.6[医药卫生—眼科]