老年患者原发性闭角型青光眼的两种手术方式比较  

Analysis of two types of surgeries for senile primary angle-closure glaucoma eyes

作　　者：陆融[1] 陈敏亚[2] 林菁[1] 赵伟[1] LU Rong;CHEN Minya;LIN Jing;ZHAO Wei(Department of Ophthalmology,Nanjing Medical University Affiliated Wuxi People's Hospital,Wuxi,Jiangsu,214000,China;Department of Education,Nanjing Medical University Affiliated Wuxi People's Hospital,Wuxi,Jiangsu,214000,China)

机构地区：[1]南京医科大学附属无锡市人民医院眼科,江苏无锡214000 [2]南京医科大学附属无锡市人民医院教育处,江苏无锡214000

出　　处：《当代医学》2022年第3期90-93,共4页Contemporary Medicine

摘　　要：目的比较老年患者原发性闭角型青光眼两种术式的治疗效果。方法选取2016年1月至2020年1月本院收治的≥50岁原发性闭角型青光眼患者127例(158眼)作为研究对象,随机分为超声组和联合组,各79眼。超声组行超声乳化白内障摘除术,联合组行超声乳化白内障摘除联合房角分离术。比较两组术前、术后3个月眼压、前房角开放情况、中央前房深度、(矫正)视力。结果超声组和联合组治疗有效率均为100.0%。术后,两组患眼眼压均明显低于术前,差异有统计学意义(P<0.01)。术后,两组眼压比较差异无统计学意义。术后3个月,联合组前房角完全开放率高于超声组(P<0.01)。术后,两组前房深度均明显增加(P<0.01),但两组前房深度比较差异无统计学意义。超声组术后3个月矫正视力提高视力表2行或以上为65眼(82.3%),较术前无变化或变化(提高或下降)不超过1行为14眼(17.7%)。联合组术后3个月视力提高视力表2行或以上为63眼(79.7%),术后视力较术前无变化或变化(提高或下降)不超过1行为16眼(20.3%)。结论对老年患者原发性闭角型、房角关闭<180°的青光眼,超声乳化白内障摘除和超声乳化白内障摘除联合房角分离两种术式均可有效控制眼压,提高部分患眼视力,但联合房角分离术可更有效地开放前房角。Objective To compare the therapeutic effects of two surgical methods for senile primary angle-closure glaucoma eyes in patients.Methods 127 patients(158 eyes) with senile primary angle-closure glaucoma eyes aged ≥50 years who were admitted to our hospital from January2016 to January 2020 were selected as the research subjects, and they were randomly divided into the ultrasound group and the combined group,with 79 eyes in each group. The ultrasound group underwent phacoemulsification, the combined group underwent phacoemulsification and goniosynechialysis. The intraocular pressure(IOP), open angle of anterior chambe, average depth of central anterior chamber of eyes, and corrected visual acuity were compared between the two groups before operation and 3 months after operation. Results The effective rate in the ultrasound group and the combined group were both 100.0%. After operation, IOP of the two groups was significantly lower than that before operation, the difference was statistically significant(P<0.01). After surgery, there was no significant difference in IOP between the two groups. At 3 months after operation, the rate of complete open angle of anterior chamber in the combined group was higher than that in the ultrasound group(P<0.01). After operation, the average depth of central anterior chamber of eyes of both groups were significantly increased(P<0.01), but there was no significant difference in average depth of central anterior chamber of eyes between the two groups. In the ultrasound group, 65 eyes(82.3%) had 2 or more lines of corrected visual acuity on the visual acuity chart 3 months after the operation, and 14 eyes(17.7%) had no change or change(improvement or decrease) by no more than 1 line compared with that before operation. In the combined group, 63 eyes(79.7%) had 2 or more lines of visual acuity on the visual acuity chart after 3 months after surgery, and 16 eyes(20.3%) had no change or change(improvement or decrease) after surgery compared with preoperative visual acuity. Conclusion For

关 键 词：晶状体 原发性闭角型青光眼 眼压 房角分离术 

分 类 号：R779.6[医药卫生—眼科]