内窥镜直视下房角分离术联合超声乳化人工晶状体植入术治疗原发性闭角型青光眼  

Endoscopic directed chamber angle separation combined with phacoemulsification and IOL implantation for primary angle-closure glaucoma

作　　者：申颖[1,2] 陆晓和[1] 

机构地区：[1]南方医科大学珠江医院眼科,广东省广州市510282 [2]内蒙古医科大学附属医院眼科,内蒙古自治区呼和浩特市010050

出　　处：《眼科新进展》2015年第4期343-345,共3页Recent Advances in Ophthalmology

基　　金：内蒙古自治区自然科学基金资助(编号:2011MS1137)~~

摘　　要：目的探讨原发性闭角型青光眼行内窥镜直视下房角分离术联合超声乳化摘出人工晶状体植入术的临床效果。方法选取我院2012年1月至2014年1月原发性闭角型青光眼患者100例(100眼),按治疗方式的不同分为观察组、对照组,观察组行内窥镜直视下房角分离术联合超声乳化摘出人工晶状体植入术,对照组单纯行超声乳化摘出人工晶状体植入术。两组术后均平均随访6个月,观察比较两组的临床疗效、治疗前后眼压、前房深度、视力、术后并发症等情况。结果观察组、对照组的总有效率分别为86.0%、58.0%,差异有统计学意义(P<0.05)。2组术后前房深度加深,眼压降低,视力提高,与术前比较,差异均有统计学意义(均为P<0.05),且观察组术后各项指标改善程度均优于对照组,差异均有统计学意义(均为P<0.05)。观察组、对照组的术后并发症总发生率分别为6.0%、20.0%,差异有统计学意义(P<0.05)。结论原发性闭角型青光眼患者行内窥镜直视下房角分离术联合超声乳化摘出人工晶状体植入术,术后视力明显提高,可有效控制眼压,临床效果确切。Objective To investigate the clinical efficacy of endoscopic directed chamber angle separation combined with phacoemulsification and IOL implantation for primary angle-closure glaucoma. Methods One hundred patients（ 100 eyes） with primary angle-closure glaucoma were chosen in our hospital between January 2012 and January 2014,according to the different surgery,the patients were divided into observation group and control group,the patients in the observation group performed endoscopic directed chamber angle separation combined with phacoemulsification and IOL implantation,and the control group only received phacoemulsification and IOL implantation. The follow-up time of two groups averaged 6 months,the clinical efficient and intraocular pressure,anterior chamber depth,visual acuity preoperatively and postoperatively,and postoperative complications of two groups were observed and compared. Results The clinical effectiveness of observation group and control group were 86. 0% and 58. 0%,respectively,there was significant difference（ P〈0. 05）. Compared with pre-operation,the postoperative anterior chamber depth increased,the intraocular pressure decreased,the visual acuity increased,there were statistical difference（ all P〈0. 05）,and the improvement of above indexes in observation group were better than those in control group（ all P〈0. 05）. The incidence of postoperative complications in observation group and control group were 6. 0% and 20. 0%,respectively,the difference was statistically significant（ P〈0. 05）. Conclusion Endoscopic directed chamber angle separation combined with phacoemulsification and IOL implantation for primary angle-closure glaucoma can improve the visual acuity,control the intraocular pressure,and he clinical efficacy is ideal.

关 键 词：原发性闭角型青光眼 人工晶状体 超声乳化 房角分离 

分 类 号：R776.1[医药卫生—眼科]