激光联合手术治疗原发性闭角型青光眼的研究进展  

Research progression of laser⁃assisted surgery for primary angle⁃closure glaucoma

作　　者：樊永骐 余锦强[1] FAN Yongqi;YU Jinqiang(Third Clinical Medical College,Hubei Medical College,People's Hospital,Shiyan 442000,China)

机构地区：[1]湖北医药学院第三临床医学院湖北省十堰市人民医院眼科中心,442000

出　　处：《中国老年保健医学》2024年第2期116-119,共4页Chinese Journal of Geriatric Care

摘　　要：青光眼为不可逆性的致盲性疾病,我国原发性闭角型青光眼(primary angle closure glaucoma,PACG)是其主要类型,常见的手术治疗方式有超声乳化联合小梁切除术(青白联合术)和超声乳化联合房角粘连分离术等。本文对激光与白内障超声乳化联合房角分离术治疗原发性闭角型青光眼合并白内障的原理,多种激光联合手术治疗的临床应用、疗效及特点进行阐述。通过查阅文献并综述发现,控制眼压对原发性闭角型青光眼患者具有重要意义,激光治疗作为预防及治疗原发性闭角型青光眼的重要方法,具有简单、便捷、快速等优点,激光与超声乳化联合房角分离手术对于原发性闭角型青光眼合并白内障患者解除瞳孔阻滞,恢复前房正常解剖结构具有更好疗效。Primary angle closure glaucoma(PACG)is a type of irreversible blinding disease that has a significant impact on patients'vision.In China,the common surgical approaches for PACG include ultrasound phacoemulsification combined with trabecu⁃lectomy(phaco⁃trabeculectomy)and ultrasound phacoemulsification combined with angle adhesion separation.This article provides an overview of the principles,clinical applications,efficacy,and characteristics of laser⁃assisted phacoemulsification combined with angle adhesion separation for the treatment of primary angle closure glaucoma with cataracts.By reviewing the literature and reviewing the findings,laser therapy as an important method for prevention and treatment of PACG,offers advantages such as simplicity,conven⁃ience,and speed.The combination of laser therapy with phacoemulsification and angle adhesion separation has shown better efficacy in relieving pupil blockage and restoring normal anatomical structure of the anterior chamber in PACG patients with cataracts.

关 键 词：原发性闭角型青光眼 激光周边虹膜切除术 白内障超声乳化 房角分离 

分 类 号：R779.6[医药卫生—眼科]