摘要
目的:分析白内障超声乳化人工晶状体植入联合房角分离术治疗合并白内障的急性闭角型青光眼的临床应用效果。方法:选取2010-06/2018-09期间我院收治的合并白内障的急性闭角型房角粘连<180°患者40例40眼,根据手术方法不同分为观察组和对照组。观察组采用白内障超声乳化人工晶状体植入联合前房角分离术治疗,对照组采用白内障超声乳化人工晶状体植入术治疗,将两组患者治疗结果进行对比。结果:术后3、6mo,观察组视力、眼压、前房深度均优于对照组( P <0.05)。随访期间两组均无严重并发症发生。结论:白内障超声乳化人工晶状体植入联合房角分离术治疗合并白内障的急性闭角型房角粘连<180°的患者临床效果显著。
AIM: To study and analyze the clinical effect of phacoemulsification and intraocular lens (IOL) implantation combined with goniosychialysis in treatment of acute angle-closure glaucoma with cataract. METHODS: From June 2010 to October 2018, 40 patients (40 eyes) with acute angle-closure glaucoma and cataract which anterior chamber angle adhesion is less than 180°admitted to our hospital were enrolled in this study. They were divided into observation group and control group according to different surgical methods. The patients in the control group were treated by phacoemulsification and IOL implantation. The observation group was treated with phacoemulsification and IOL implantation combined with goniosychialysis. The difference between the two groups was compared. RESULTS: At 3mo, 6mo after operation, the visual acuity, intraocular pressure, anterior chamber depth, anterior chamber angle grading of the observation group were better than those of the control group ( P <0.05). CONCLUSION: Regarding the treatment of acute angle closure glaucoma, who has cataract and less than 180° peripheral anterior synechia, phacoemulsification and IOL implantation combined with goniosychialysis showed significant clinical effect.
作者
陈星
于建春
沈健
周丹英
吴雁冰
孙庆祝
Xing Chen;Jian-Chun Yu;Jian Shen;Dan-Ying Zhou;Yan-Bing Wu;Qing-Zhu Sun(Department of Ophthalmology, the Ninth People’s Hospital of Wuxi City, Wuxi 214062, Jiangsu Province, China)
出处
《国际眼科杂志》
CAS
北大核心
2019年第7期1158-1161,共4页
International Eye Science
关键词
白内障
急性闭角型青光眼
超声乳化
房角分离术
cataract
acute angle-closure glaucoma
phacoemulsification
goniosychialysis
