摘要
目的 观察超声乳化（超乳）白内障吸除，联合黏弹剂房角分离术，治疗合并白内障的原发性急、慢性闭角型青光眼的疗效。方法超乳联合房角分离术治疗急性闭角型青光眼（以下简称急闭）20只眼，慢性闭角型青光眼（以下简称慢闭）18只眼。均有不同程度的晶状体混浊。随访时间为3～18个月。结果急、慢闭组术后平均眼压均较术前明显下降（p〈0．01），使用抗青光眼药物例数明显减少，前房深度较术前增加，前房角较术前增宽。结论 超声乳化白内障吸除联合黏弹剂房角分离术可治疗急、慢性闭角型青光眼，前者疗效优于后者。
Objective To study the clinical results of phacoemulsification combined with goniosynechialysis in the management of acute and chronic primary angle-closure glaucoma（APACG or CPACG） with cataract. Methods 38 eyes：20 eyes with APACG, 18 eyes with CPACG, were undergone phacoemulsification and IOL implantation,combined with goniosychialysis. Postoperative time of following up was 3-18 months. Results In APACG and CPACG group, postoperative IOP decreased obviously（P〈0.01）.Postopcrative the number of patients using antiglaucoma medicine reduced.Preoperative central ACD of APACG and CPACG were much less than those of postoperative. Postoperative the rate of open-angle and the extent of synechiae were increased.Conclusions That the phacoemulsification combined with goniosynechialysis was benefit to PAC6 with cataract.Moreover, the surgical curative effect of APACG was better than that of CPACG.
出处
《中国实用眼科杂志》
CSCD
北大核心
2008年第2期147-149,共3页
Chinese Journal of Practical Ophthalmology
