白内障超声乳化吸除人工晶状体植入治疗急性闭角型青光眼的临床研究  

Clinical study of phacoemulsification in the treatment of acute-closure glaucoma

作　　者：李春霞[1] 肖文玮 陆骏[1] 嵇金宝 秦瑜[1] 

机构地区：[1]上海市中西医结合医院眼科,200082

出　　处：《临床眼科杂志》2013年第1期58-60,共3页Journal of Clinical Ophthalmology

基　　金：上海市卫生局科研计划课题资助项目(编号:2009220)

摘　　要：目的探讨白内障超声乳化吸除术在急性闭角型青光眼治疗中的临床效果和其降压机理,以及在不同适应证下手术的安全性。方法 60例(60只眼)急性闭角型青光眼患者,根据不同情况进行单纯超声乳化吸除术,或联合房角粘连分离术,或联合小梁切除术。随访至少6个月。结果 3组患者术后的视力、眼压、中央前房深度较术前比较均有明显统计学差异。结论超声乳化白内障吸除术不仅提高视力,还具有加深中央前房深度,开放房角,降低眼压等优势,是治疗急性闭角型青光眼合并白内障的有效手术方法之一。Objective To invvsfigate the clinical results of phacoemulsificafion for acute angle-closure glaucoma, the mechanism of decreasing IOP, and the safety in different clinical situation. Methods 60 cases suffered from primary angle-closure with cataract underwent phacoemulsificafion and IOL implantation,or combined with goniosychialysis,or com- bined with trabeculectomy, according to the clinical demonstration. Results Among the three groups, the results of IOP, visual acuity, central anterior chamber depth, compared with those of pre-operafion have significant statistical differences. Conclusion Phacoemulsificafion is a safe and effective surgery for patients with acute angle-closure glaucoma and cataract . It can improve visual acuity and decrease IOP.

关 键 词：急性闭角型青光眼 白内障 超声乳化 

分 类 号：R779.66[医药卫生—眼科]