超声乳化、人工晶体植入联合房角分离术治疗原发性急性闭角型青光眼合并白内障患者的效果  

Effects of phacoemulsification,intraocular lens implantation combined with angle separation in treatment of patients with primary acute angle-closure glaucoma complicated with cataract

作　　者：李光辉 LI Guanghui(Department of Ophthalmology of Xuchang People’s Hospital,Xuchang 461000 Henan,China)

机构地区：[1]许昌市人民医院眼科,河南许昌461000

出　　处：《中国民康医学》2024年第13期68-70,74,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察超声乳化、人工晶体植入联合房角分离术治疗原发性急性闭角型青光眼(APACG)合并白内障患者的效果。方法:回顾性分析2019年1月至2022年2月该院收治的102例APACG合并白内障患者的临床资料,按照手术方法不同将其分为观察组和对照组各51例。观察组实施超声乳化、人工晶体植入联合房角分离术治疗,对照组实施超声乳化、人工晶体植入联合小梁切除术治疗,两组术后均随访3个月。比较两组临床疗效,手术前后眼压水平、最佳矫正视力(BCVA)水平、眼功能指标(前房深度、小梁虹膜角、视野缺损值)水平,以及并发症发生率。结果:观察组治疗总有效率为98.04%(50/51),高于对照组的84.31%(43/51),差异有统计学意义(P<0.05);术后3个月,观察组眼压水平小于对照组,BCVA水平高于对照组,差异均有统计学意义(P<0.05);术后3个月,观察组前房深度、小梁虹膜角大于对照组,视野缺损值低于对照组,差异均有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:超声乳化、人工晶体植入联合房角分离术治疗APACG合并白内障患者可提高治疗总有效率和BCVA水平,降低眼压水平,改善眼功能指标水平,效果优于超声乳化、人工晶体植入联合小梁切除术治疗。Objective:To observe effects of phacoemulsification,intraocular lens implantation combined with angle separation in treatment of patients with primary acute angle-closure glaucoma(APACG) complicated with cataract.Methods:The clinical data of 102 patients with APACG complicated with cataract admitted to the hospital from January 2019 to February 2022 were retrospectively analyzed.According to different surgery methods,they were divided into observation group and control group,51 cases in each group.The observation group was treated with phacoemulsification,intraocular lens implantation combined with angle separation,while the control group was treated with phacoemulsification,intraocular lens implantation combined with trabeculectomy.Both groups were followed up for 3 months.The clinical efficacy,the intraocular pressure level,the best corrected visual acuity(BCVA) level,the eye function index(anterior chamber depth,trabecular iris angle,visual field defect)levels before and after the surgery,and the incidence of complications were compared between the two groups.Results:The total effective rate of the observation group was 98.04%(50/51),which was higher than 84.31%(43/51) of the control group,and the difference was statistically significant(P<0.05).3 months after the surgery,the intraocular pressure level of the observation group was lower than that of the control group,the BCVA level was higher than that of the control group,and the differences were statistically significant(P<0.05).3 months after the surgery,the anterior chamber depth and the trabecular iris angle of the observation group were greater than those of the control group,the visual field defect level was smaller than that of the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Phacoemulsification,intraocular lens implantation combined with angle separation in the treatment of the APACG patients with catarac

关 键 词：原发性急性闭角型青光眼 白内障 小梁切除术 房角分离术 眼压 最佳矫正视力 眼功能 

分 类 号：R779.6[医药卫生—眼科]