超声乳化摘除联合房角分离术治疗急性闭角型青光眼合并白内障的临床观察  

Clinical Observation of Phacoemulsification Combined with Goniotomy in the Treatment of Acute Angle--closure Glaucoma Complicated with Cataract

作　　者：王洪鹏 WANG Hong-peng(Five Wards of Ophthalmology,Nanyang Eye Hospital,Nanyang,Henan,473000,China)

机构地区：[1]南阳市眼科医院眼科五病区,河南南阳473000

出　　处：《黑龙江医学》2022年第6期706-708,共3页Heilongjiang Medical Journal

摘　　要：目的:观察超声乳化摘除联合房角分离术治疗急性闭角型青光眼(AACG)合并白内障的临床疗效。方法:选择2018年5月—2020年5月南阳市眼科医院治疗的84例(84眼)AACG合并白内障患者,按随机数表法将其分为对照组和观察组,每组各42例。对照组采用超声乳化摘除术治疗,观察组采用超声乳化摘除联合房角分离术治疗。比较两组患者的眼压、最佳矫正视力(BCVA)、前房角分级、中央前房深度及并发症发生情况。结果:术前两组患者眼压、BCVA、前房角分级对比,差异无统计学意义(t=0.330,0.094,P>0.05;Z=0.424,P>0.05)。术后观察组眼压患者BCVA及前房角分级优于对照组,差异有统计学差异(t=7.149,3.890,P<0.05;Z=2.266,P<0.05);术前两组患者的中央前房深度比较,差异无统计学意义(t=1.362,P>0.05);术后观察组患者的中央前房深度大于对照组,差异有统计学意义(t=8.249,P<0.05)。两组患者并发症总发生率对比,差异无统计学意义(χ^(2)=1.243,P>0.05)。结论:超声乳化摘除联合房角分离术治疗AACG合并白内障在降低患者眼压、提高患者视力及改善前房角开放程度、中央前房深度方面效果更为理想,术后并发症少,临床应用安全有效。Objective:To observe the clinical effect of phacoemulsification combined with goniotomy in the treatment of acute angle-closure glaucoma (AACG) complicated with cataract.Methods:A total of 84 patients (84 eyes) with AACG and cataract who were treated in the hospital from May 2018 to May 2020 were selected and divided into two groups according to the random number table method, with 42 cases in each group. The control group was treated with phacoemulsification, while the observation group was treated with phacoemulsification combined with goniotomy. The intraocular pressure, best corrected visual acuity (BCVA), anterior chamber angle grade, central anterior chamber depth and complications were compared between the two groups.Results:There was no statistically significant difference in intraocular pressure, BCVA and anterior chamber angle grading between the two groups before surgery (t=0.330, 0.094, P>0.05, Z=0.424, P>0.05). The intraocular pressure, BCVA and anterior chamber angle classification of the observation group were better than those of the control group, and the differences were statistically significant(t=7.149, 3.890, P<0.05, Z=2.266, P<0.05). There was no statistically significant difference in the depth of the central anterior chamber between the two groups before surgery (t=1.362, P>0.05). The central anterior chamber depth of the observation group was greater than that of the control group after operation, and the difference was statistically significant (t=8.249, P<0.05). There was no statistically significant difference in the total incidence of complications between the two groups (χ^(2)=1.243, P>0.05).Conclusion:Phacoemulsification combined with goniotomy in the treatment of AACG complicated with cataract is more effective in reducing intraocular pressure, improving vision, improving anterior chamber angle and central anterior chamber depth, with fewer postoperative complications, and clinical application is safe and effective.

关 键 词：急性闭角型青光眼 白内障 超声乳化摘除 房角分离术 眼压 中央前房深度 并发症 

分 类 号：R657.4[医药卫生—外科学]