摘要
目的探讨超声乳化联合房角分离手术治疗白内障合并青光眼的临床效果观察。方法选取96例(96眼)白内障并发青光眼患者,根据随机数表法分为对照组46例(46眼)和研究组50例(50眼)。对照组患者接受传统手术治疗,研究组患者采用白内障超声乳化联合房角分离手术治疗。比较2组患者治疗效果及并发症发生率。结果治疗后,2组患者眼压水平均显著低于治疗前,且研究组显著低于对照组(P<0.05);治疗后,2组患者的视力、房角宽度、中央前房深度水平均显著高于治疗前,且研究组显著高于对照组(P<0.05);研究组患者术后并发症总发生率12.0%,显著低于对照组的32.6%(P<0.05)。结论白内障超声乳化联合房角分离手术治疗白内障并发青光眼效果显著。
Objective To explore the clinical efficacy of phacoemulsification combined with goniosynechialysis on treating patients with cataract complicated with glaucoma.Methods A total of 96 patients(96 eyes)with cataract complicated with glaucoma were selected and randomly divided into two groups.The 46 patients(46 eyes)in control group was treated with conventional treatment,while the 50 patients(50 eyes)in study group was treated with phacoemulsification and goniosynechialysis.The therapeutic effect and the incidence rate of complications were compared between the two groups.Results After treatment,the level of intraocular pressure were significantly lower than those before treatment in both groups,and the study group was significantly lower than the control group(P<0.05).After treatment,the visual acuity,the width of the cornea and the depth of the central anterior chamber were significantly higher than those before treatment in both groups,and the study group was significantly higher than the control group(P<0.05).The total incidence rate of postoperative complications was 12.0%in the study group,which was significantly lower 32.6%in the control group(P<0.05).Conclusion Phacoemulsification combined with goniosynechialysis is effective in treatment of patients with cataract complicated with glaucoma.
作者
魏滃
陈红刚
WEI Weng;CHEN Honggang(Department of Ophthalmology,Chongyang County People′s Hospital,Chongyang,Hubei,437599)
出处
《实用临床医药杂志》
CAS
2018年第3期82-85,共4页
Journal of Clinical Medicine in Practice
关键词
青光眼
白内障
超声乳化术
房角分离手术
眼压
glaucoma
cataract
phacoemulsification
goniosynechialysis
intraocular pressure
