摘要
目的:探讨白内障超声乳化联合两种不同房角分离术治疗原发性急性闭角型青光眼合并白内障的临床疗效。方法:原发性急性闭角型青光眼合并白内障的患者60例62眼随机分为两组,A组31眼行白内障超声乳化摘除术联合I/A头牵拉房角分离术,B组31眼行白内障超声乳化摘除联合黏弹剂钝性房角分离术,比较两组患者术前和术后3mo的最佳矫正视力、眼压、中央前房深度、房角开房范围和瞳孔大小。结果:术后所有患者眼压明显低于术前眼压,差异具有统计学意义(P<0. 05); 62眼视力较术前均有不同程度的改善;前房深度和房角开放范围均较术前明显增加,差异具有统计学意义(P<0. 05)。A组与B组相比,两组患者术后3mo视力、眼压控制和中央前房深度方面差异无统计学意义(P>0. 05),A组在房角开放范围方面优于B组,差异有统计学意义(P<0. 05)。术后3mo,A组患者中有8眼瞳孔缩小1mm以上,B组患者中有2眼瞳孔缩小1mm以上。结论:白内障超声乳化摘除术联合两种不同的房角分离术均能有效治疗原发性急性闭角型青光眼合并白内障,其中I/A头牵拉房角分离术能更有效地增加房角开放范围。
AIM： To study the effect of two kinds ofphacoemulsification combined with goniosynechialysis forprimary angle-closure glaucoma with cataract. METHODS： Phacoemulsification combined withgoniosynechialysis was performed in 60 patients 62 eyesfor primary angle - closure glaucoma with cataract. Theywere randomly divided into two groups, 31 eyesunderwent phacoemulsification with goniosynechialysiscombined with I / A catheterization were performed inGroup A; in Group B, 31 eyes were performedphacoemulsification with goniosynechialysis combinedwith viscoelastics. Best corrected visual acuity, theintraocular pressure, anterior chamber depth, anteriorchamber angle width and pupil size were measured beforethe operation, and 3mo after the operation. RESULTS： Intraocular pressure of all cases werereduced obviously after the operation （ P 〈 0. 05 ）. Visualacuity of the 62 eyes were improved in different extent;the anterior chamber depth and anterior chamber anglewidth after 3mo of the operation were deeper and widerthan those before the operation （P〈0. 05）. There were nodifferent in the intraocular pressure, best corrected visual acuity and anterior chamber depth between the twogroups（P〉 0. 05）, but, Group A was superior to Group Bin anterior chamber angle width （P〈 0. 05）. At 3mo afteroperation, there were 8 eyes in Group A with more than1mm lessen pupil size, two eyes in Group B had thesame. CONCLUSION： Two kinds of goniosynechialysiscombined with phacoemulsification in the treatment ofprimary acute angle - closure glaucoma with cataract areeffective. Among them, the goniosynechialysis with I / Awas more effective to increase the anterior chamber anglewidth.
作者
李超
杜绍林
周伟
郑文凯
马惠惠
董秀清
Chao Li;Shao-Lin Du;Wei Zhou;Wen-Kai Zheng;Hui-Hui Ma;Xiu-Qing Dong(Ophthalmic Center,Donghua Hospital Affiliated to Sun Yat-senUniversity,Dongguan 523000,Guangdong Province,China)
出处
《国际眼科杂志》
CAS
北大核心
2018年第11期2023-2026,共4页
International Eye Science
基金
广东省医学科研基金项目(No.B2018234)~~
