白内障超声乳化联合房角分离术治疗不同范围房角关闭的原发性闭角型青光眼  

Clinical study of phacoemulsification and goniosynechialysis for primary angle-closure glaucoma

作　　者：何静[1] 谢平[1] 欧阳君[1] 

机构地区：[1]中国江西省九江市第一人民医院眼科,332000

出　　处：《国际眼科杂志》2015年第7期1251-1252,共2页International Eye Science

摘　　要：目的:探讨白内障超声乳化吸除人工晶状体植入联合房角分离术对原发性闭角型青光眼(primary angle-closure glaucoma,PACG)合并有白内障患者治疗的临床效果和安全性。方法:选取2009-03/2014-03收治的PACG合并白内障的患者83例83眼,术前均无用抗青光眼药物史,查房角后分为两组:A组患者39例39眼,房角关闭<180°;B组患者44例44眼,房角关闭≥180°。观察手术后视力、前房深度、房角及术后的眼压变化情况并进行统计学处理。术后随访1a。结果:两组视力均提高明显,前房深度增加、房角增宽无统计学差异(P>0.05)。术后3mo A组眼压低于B组,具有统计学差异(P<0.05)。结论:白内障超声乳化吸除人工晶状体植入联合房角分离术能够显著地增加前房深度,开放房角,有效地降低眼压,提高患者视功能等优势。尤其是房角关闭在180°以内PACG合并白内障患者的一种安全、有效的手术方法。AIM ： To discuss the clinical effect and safety of the com bined surgeries of phacoem ulsification and goniosynechialysis for patients with primary angle-closure glaucom a（ PACG）.METHODS： Eighty-three eyes of 83 patients with PACG and cataract were ranomized into two groups. Group A：39 patients with 39 eyes of angle-closure 180°; Group B：44 patients with 44 eyes angle- closure ≥ 180°. The changes of visual acuity,anterior chamber depth（ ACD）,anterior cham ber angle and IOP after operation w ere m easured. The follow-up period was for 1a.RESULTS： The visual acuity was improved significantly in both group after operation. No significantly difference in ACD,anterior cham ber angle after operation in two groups（ P〉0. 05）. The IOP in group A was low er than that in group B 3m o after operation, there was statistical significance（ P〈0. 05）.CONCLUSION： Phacoemulsification and goniosynechialysis can deepen ACD significantly. This method make the anterior chamber angle open, can reduce IOP and improve the patients＇ visual acuity,especially in patients with PACG. It is a safe and effective approach to patients with PACG and cataract.

关 键 词：原发性闭角型青光眼 白内障 房角分离 

分 类 号：R779.66[医药卫生—眼科]