摘要
目的探讨小梁消融术联合白内障超声乳化及房角分离术在老年原发性闭角型青光眼(PACG)合并白内障患者治疗中的应用价值。方法选择2015年6月至2018年6月航天中心医院收治的120例老年PACG合并白内障患者为研究对象,根据手术方法不同分为对照组和观察组,每组60例。2组患者均行白内障超声乳化术及联合房角分离术,在此基础上,对照组患者给予小梁切除术,观察组患者给予小梁消融术。比较2组患者术前、术后1 d及术后1、3、6、12个月时眼压、最佳矫正视力(BCVA)及降眼压药物使用种类等。观察组患者根据术中不同消融弧度分为消融弧度90°组、消融弧度100°组和消融弧度120°组,比较3组患者术前、术后1 d及术后1、3、6、12个月时眼压、BCVA及降眼压药物使用种类等。结果对照组和观察组患者术前眼压、BCVA及降眼压药物使用种类比较差异均无统计学意义(P>0.05)。与术前比较,术后各时间点,对照组和观察组患者眼压均显著降低,BCVA均显著增高,降眼压药物使用种类均显著减少(P<0.05)。观察组患者术后各时间点眼压与对照组比较差异均无统计学意义(P>0.05)。观察组患者术后1 d时BCVA与对照组比较差异无统计学意义(P>0.05),术后1、3、6、12个月BCVA显著高于对照组(P<0.05);与术后1 d时比较,对照组和观察组患者术后1、3、6、12个月时BCVA均显著增高(P<0.05)。对照组和观察组患者术后1、3、6、12个月降眼压药物使用种类均少于术后1 d时,术后3、6、12个月降眼压药物使用种类均少于术后1个月时,术后6、12个月降眼压药物使用种类均少于术后3个月时(P<0.05);对照组和观察组患者术后各时间点降眼压药物使用种类比较差异均无统计学意义(P>0.05)。不同消融弧度患者术后1 d及术后1、3、6、12个月时眼压均显著低于术前(P<0.05);消融弧度120°组患者术后3、6、12个月时眼压均显著低于同时
Objective To explore the application value of trabecular ablation combined with cataract phacoemulsification and atrial angle separation in patients with senile primary angle-closure glaucoma(PACG)combined with cataract.Methods One hundred and twenty elderly PACG combined with cataract patients who were admitted to Space Center Hospital from June 2015 to June 2018 were selected as research subjects.They were divided into the control group and the observation group according to the surgical method,with 60 case in each group.The cataract phacoemulsification+atrial angle separation was performed in all the patients of the both groups,and then the patients in the control group were treated with trabeculectomy,the patients in the observation group were treated with trabecular ablation.The intraocular pressure(IOP),best corrected visual acuity(BCVA)and the types used of IOP lowering-drugs of the patients between the control group and the observation group were compared before surgery,1 d and 1,3,6,12 months after operation,respectively.The patients in the observation group were divided into the ablation radian 90°group,ablation radian 100°group and ablation radian 120°group according to the different ablation radians during the operation,and the IOP,BCVA and the types used of IOP lowering-drugs of the patients among the three groups were compared before surgery,1 d and 1,3,6,12 months after operation,respectively.Results There was no significant difference in IOP,BCVA and types used of IOP lowering-drugs between the control group and the observation group before surgery(P>0.05).Compared with before operation,the IOP significantly decreased,BCVA significantly increased,and the amount used of IOP lowering-drugs reduced of the patients in the control group and the observation group at each time point after operation(P<0.05).There was no significant difference in IOP of the patients between the control group and observation group at each time point after operation(P>0.05).There was no significant difference in the BCVA
作者
任虹
张良
REN Hong;ZHANG Liang(Department of Ophthalmology,Space Center Hospital,Beijing 100049,China;Department of Ophthalmology,the Fourth People′s Hospital of Shenyang,Shenyang 110000,Liaoning Province,China)
出处
《新乡医学院学报》
CAS
2020年第11期1062-1067,共6页
Journal of Xinxiang Medical University
基金
北京市科技攻关课题资助项目(编号:2017010410)。
关键词
小梁消融术
白内障超声乳化术
房角分离术
原发性闭角型青光眼
白内障
眼压
最佳矫正视力
trabecular ablation
cataract phacoemulsification
atrial angle separation
primary angle-closure glaucoma
cataract
intraocular pressure
best corrected vision
