摘要
目的评估超声乳化联合囊袋张力环植入术治疗晶状体悬韧带松弛所致急性闭角型青光眼的效果。方法回顾性分析2016年1月至2018年6月中国人民解放军新疆军区总医院收治的悬韧带松弛所致急性闭角型青光眼120例(120眼)。包括对照组60例(60眼),采用晶状体超声乳化联合人工晶状体植入术;观察组60例(60眼),采用晶状体超声乳化联合囊袋张力环植入及人工晶状体植入术。观察两组患者术后的效果。结果术前两组之间眼压、最佳矫正视力及中央前房深度差异均无明显统计学意义(P>0.05);术后随访3个月观察组眼压低于对照组(P=0.000),最佳矫正视力优于对照组(P=0.000);中央前房深度大于对照组(P=0.000);观察组不良反应发生率为1.67%低于对照组的11.67%(P=0.028)。结论超声乳化联合囊袋张力环植入术治疗晶状体悬韧带松弛所致急性闭角型青光眼效果稳定且安全性高。
Objective To evaluate the clinical efficacy of phacoemulsification combined with capsular tension ring implantation in the treatment of acute angle-closure glaucoma caused by lens suspensory ligament relaxation.Methods Total of 120 eyes of 120 patients with acute angle-closure glaucoma due to lens suspensory ligament relaxation in Xinjiang Military District General Hospital of Chinese People’s Liberation Army from Jan.2016 to Jun.2018 were collected and analyzed retrospectively.The control group,60 eyes of 60 cases,received phacoemulsification combined with intraocular lens implantation.The observation group,60 eyes of 60 cases,were treated with phacoemulsification,capsular tension ring(CTR)implantation combined with intraocular lens implantation.Changes in intraocular pressure,BCVA,central anterior chamber depth,angle closure range and adverse reactions before and after surgery were observed in the two groups.Results The difference of IOP,BCVA and cental anterior chamber depth before surgery of two groups was not statistically significant(P>0.05).The intraocular pressure of the observation group was significantly lower than that of the control group(P=0.000),and the best corrected visual acuity of the observation group was significantly better than that of the control group(P=0.000).The central anterior chamber depth of the observation group was significantly deeper than that of the control group(P=0.000).The incidence of adverse reactions in the observation group was 1.67%,which was significantly lower than that in the control group(P=0.028).Conclusion Phacoemulsification combined with capsular tension ring implantation for the treatment of acute angle-closure glaucoma due to lens suspensory ligament are stable and safe.
作者
黄红艳
张旭
Huang Hongyan;Zhang Xu(Department of Ophthalmology,Xinjiang Military District General Hospital of Chinese People’s Liberation Army,Urumchi 830000,China;Department of Ophthalmology,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《中华眼外伤职业眼病杂志》
2020年第1期26-30,共5页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
超声乳化术
植入术
囊袋张力环
青光眼
闭角型
急性
Phacoemulsification
Implantation
capsular tension ring
Glaucoma
angle-closure
acute
