摘要
目的探讨超声乳化白内障吸除术治疗原发性闭角型青光眼的临床疗效。方法对眼科收治的原发性闭角型青光眼患者64例(共128眼)随机分为对照组和观察组各32例(64眼),对照组行小梁切除术治疗,观察组行超声乳化白内障吸除术治疗。比较两组患者在视力、眼压、前房深度、房角宽度以及并发症发生率等方面的差异。结果治疗后,观察组患者的视力优于对照组,差异有统计学意义(P<0.05);观察组患者的眼压[(12.43±1.01)mmHg]低于对照组[(18.85±1.23)mmHg],前房深度[(4.57±1.59)mm]大于对照组[(3.32±1.12)mm],房角宽度改善程度优于对照组,并发症发生率(10.94%)低于对照组(40.63%),差异均有统计学意义(均P<0.01)。结论超声乳化白内障吸除术治疗原发性闭角型青光眼疗效显著,可有效解除瞳孔阻滞,减轻房角粘连,改善患者眼压,可在临床推广应用。
Objective To investigate the effect of cataract ultrasonic emulsification operation on treatment of primary angle closure glaucoma. Methods 64 patients （128 eyes） with primary angle closure glaucoma were randomly divided into control group and observation group. Control group was treated with trabeculectomy operation, Observation group was treated with phacoemulsification surgery. Results Visual acuity of the observation group was better than that of the control group （P〈0. 05）. The intraocular pressure of the observation group （12.43±1.01） mmHg was less than those in the control group （18.85± 1.23） mmHg （P〈0.01）. After treatment,the depth of anterior chamber of the observation group （4. 57±1.59） mm was higher than that of the control group （3.32±1.12） mm （P〈0. 01）. After treatment, the improvement degree of width of chamber angle of observation group was larger than that of the control group （P〈0.01）. The complication rate of the observation group （10.94%） was lower than that of the control group （40. 63%） （P〈0. 01）. Conclusion Phacoemulsification surgery for treatment of primary angle closure glaucoma can effectively relieve pupillary block and adhesion, reduce the real angle and improve the intraocular pressure.
出处
《西部医学》
2015年第9期1365-1367,共3页
Medical Journal of West China
基金
四川省科技支撑计划项目(2013SZ0020)
关键词
原发性闭角型青光眼
超生乳化白内障吸除术
小梁切除术
Primary angle closure glaucoma
Phacoemulsification cataract operation
Trabeculectomy operation
