摘要
目的:观察小切口白内障摘除人工晶状体植入联合房角分离术治疗急性闭角型青光眼(acute angle closure glaucoma,ACG)合并白内障的患者临床疗效。方法:收集我院2010-07/2012-06的急性闭角型青光眼合并白内障患者48例48眼,均接受小切口白内障摘除人工晶状体植入联合房角分离术治疗,术后随访3mo。结果:术后最佳矫正视力较术前显著提高(P<0.001);术后3mo,平均眼压为15.6±3.4mmHg,较术前平均眼压(27.3±4.8mmHg)明显下降(P<0.05);术后中央前房深度由术前的1.67±0.46mm增加到3.19±0.38mm(P<0.05);房角较术前增宽,术前关闭的房角不同程度的开放。结论:小切口白内障摘除人工晶状体植入联合房角分离术是一种治疗急性闭角型青光眼合并白内障的有效方法。
AIM： To investigate the clinical effect of manual small incision cataract extraction with intraocular lens （IOL） implantation and goniosynechialysis for acute angle- closure glaucoma. METHODS： Manual small incision cataract extraction with IOL implantation andgoniosynechialysis was performed on 48 cases （48） eyes diagnosed with acute angle closure glaucoma and cataract. The best-corrected visual acuity （BCVA）, intraocular pressure （lOP）, anterior chamber depth （ACD） and anterior chamber angle width were measured and recorded preoperatively, 1 day,1 week,1 month and 3 months postoperatively. RESULTS： The BCVA was significantly better after surgery （ P〈0. 001 ）. The mean lOP decreased significantly after surgery （P〈0.05）, ACD and anterior chamber angle width increased significantly （P〈0.05）. CONCLUSION： The method of manual small incision cataract extraction with IOL implantation and goniosynechialysis is a good alternative for treating acute angle-closure glaucoma with cataract.
出处
《国际眼科杂志》
CAS
2013年第5期941-943,共3页
International Eye Science
关键词
小切口
人工晶状体
房角分离
急性闭角型青光眼
白内障
manual small incision
intraocular lens
goniosynechialysis
acute angle-closure glaucoma
cataract
