摘要
目的评价原发性急性闭角型青光眼合并白内障患者运用超声乳化吸除、房角分离术治疗的临床价值。方法从医院选取2018年3月—2019年3月期间接收治疗的原发性急性闭角型青光眼合并白内障患者90例为实验的调查研究对象,按照随机数字表法分为对照组、观察组,每组45例。对照组患者予以超声乳化吸除联合人工晶状体置入术展开治疗,观察组患者予以超声乳化吸除联合房角分离术展开治疗,对比观察两组的临床效果,即前房深度、眼压即视力水平变化。结果(1)两组患者术前术后前房深度、眼压对比:术前两组患者前房深度、眼压对比,差异无统计学意义(P>0.05),术后前房深度均下降,观察组前房深度下降幅度(19.82±2.06)°小于对照组(15.27±2.05)°,两组患者间差异有统计学意义(P<0.01),术后两组患者眼压均有一定程度升高,观察组眼压升高幅度(2.95±0.54)mmHg小于对照组(3.56±0.71)mmHg,两组患者间的差异有统计学意义(P<0.01);(2)两组患者治疗前后视力矫正情况对比:术前两组患者视力情况对比,差异无统计学意义(P>0.05),术后视力均上升,观察组上升幅度大于对照组,差异有统计学意义(P<0.05)。结论原发性急性闭角型青光眼合并白内障患者运用超声乳化吸除和房角分离术共同展开治疗,可改善患者的前房深度、眼压情况,对于改善患者的视力情况也具有积极意义。
Objective To observe the clinical of phacoemulsification and angle separation in treatment of patients with primary acute angle closure glaucoma complicated with cataract.Methods 90 cases of patients with primary acute angle closure glaucoma complicated with cataract and who received in our hospital from March 2018 to March 2019 were selected as the research objects in this experiment,and the patients were divided into control group and observation group according to the random number table method,with 45 cases in each group.The control group was treated with phacoemulsification combined with intraocular lens implantation,and the observation group were treated with phacoemulsification combined with goniosystectomy.Then the clinical effects of two groups were compared and observed,including anterior chamber depth,intraocular pressure(IOP)and visual acuity.Results(1)The anterior chamber depth and intraocular pressure between the two groups before and after operation were compared:There was no significant difference in anterior chamber depth and intraocular pressure between the two groups(P>0.05).The anterior chamber depth in the observation group(19.82±2.06)°was less than that in the control group of(15.27±2.05)°(P<0.01).There was significant difference between the two groups,and the intraocular pressure of two groups were increased to a certain extent.The increase of IOP in the observation group(2.95±0.54)mmHg was less than that in the control group of(3.56±0.71)mmHg(P<0.01),and there was significant difference between the two groups;(2)The visual acuity correction between the two groups before and after treatment were compared:There was no significant difference in visual acuity between the two groups before operation(P>0.05).The visual acuity in the observation group was higher than that in the control group(P<0.05),and there was statistical difference.Conclusion The application of phacoemulsification and goniosynesis in treatment of primary acute angle closure glaucoma complicated with cataract which can
作者
李秀军
LI Xiujun(Department of Ophthalmology,The Second People’s Hospital of Jingzhou,Jingzhou Hubei 434000,China)
出处
《中国继续医学教育》
2021年第2期149-152,共4页
China Continuing Medical Education
关键词
前房深度
眼压
视力水平
临床观察
原发性急性闭角型青光眼
白内障
anterior chamber depth
intraocular pressure
visual acuity level
clinical observation
primary acute angle closure glaucoma
cataract
