房角镜引导下的白内障超声乳化联合房角分离术的临床效果分析  

Analysis of the Clinical Effect of Phacoemulsification Combined With Goniosynechialysis Under the Guide of Goniscope

作　　者：葛金玲[1] 陈元芝[1] 靳文燕 

机构地区：[1]山东省济南市明水眼科医院眼科,山东济南250200

出　　处：《中国继续医学教育》2016年第17期97-98,共2页China Continuing Medical Education

摘　　要：目的评价房角镜引导下的白内障超声乳化联合房角分离术的临床效果。方法回顾性分析2015年7月~12月我院收治的原发性闭角型青光眼（PACG）伴白内障患者61例（61只眼）,术中应用Goldman房角镜指导房角分离术。结果术后视力均较术前提高;术中1例发生后囊膜破裂;术前前房角关闭的象限术后有不同程度的开放,原先粘连的前房角已分离;术前用药后眼压（24.58±3.14）mm Hg,术后眼压降至（14.02±3.75）mm Hg,差异有统计学意义,P〈0.05;术后3只眼眼压持续增高,应用0.5%噻吗心安滴眼液2次/d,眼压降至正常。结论超声乳化联合Goldman房角镜下前房角分离术能指导前房角的开放,手术精准性强,前房角分离效果观察及时,并发症少。Objective To evaluate the clinical effect of phacoemulsification combined with phacoemulsification in the treatment of cataract.Methods A retrospective analysis was made on 61 cases（61 eyes） with primary angle closure glaucoma with cataract in our hospital from July to December 2015.Results Postoperative visual acuity was improved compared with preoperative.Intraoperative posterior capsule rupture occurred in 1 cases.Ppreoperative anterior chamber angle closure quadrant operation have different degrees of openness,original adhesion of anterior chamber angle have been isolated; preoperative IOP after treatment（24.58±3.14） mm Hg,postoperative IOP（14.02±3.75） mm Hg,and the difference was statistically significant,P〈0.05.Postoperative 3 eyes IOP continued to increase,with 0.5% timololtimolol eye drops twice day,the intraocular pressure returned to normal.Conclusion Phacoemulsification combined with anterior chamber angle separation can guide the opening of the anterior chamber angle,the accuracy of the operation is strong,the separation effect of the anterior chamber angle is observed in time,and the complications are less.

关 键 词：闭角型青光眼 白内障 房角分离术 Goldman房角镜 

分 类 号：R779[医药卫生—眼科]