摘要
【目的】探讨超声乳化白内障吸除术(Phaco)+人工晶状体植入术(IOL)联合小梁切除术(TBL)在闭角型青光眼合并白内障患者治疗中的应用价值。【方法】选取2021年1月至2024年1月铜仁爱尔仁爱眼科医院及安化爱尔眼科医院收治的82例闭角型青光眼合并白内障患者,按照随机数字表法分为观察组和对照组,每组41例。两组均进行常规控制眼压治疗,观察组同时行Phaco+IOL联合TBL治疗,对照组同时行TBL治疗。比较两组术前、术后3 d及术后1个月、3个月时视力和眼压、前房深度及并发症发生率。【结果】术后1个月、3个月时,观察组视力高于对照组,眼压水平低于对照组,差异有统计学意义(P<0.05)。术后3个月时,观察组前房深度为(2.43±0.20)mm,显著高于对照组的(2.02±0.16)mm,差异有统计学意义(t=10.250,P=0.000)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。【结论】Phaco+IOL联合TBL能有效降低闭角型青光眼合并白内障患者眼压,提高患者视力。
【Objective】To explore the application value of phacoemulsification(Phaco)+LOL combined with trabeculectomy(TBL)in the treatment of patients with angle closure glaucoma complicated with cataract.【Methods】A total of 82 patients with angle closure glaucoma complicated with cataracts admitted to Tongren Aier Ophthalmology Hospital and Anhua Aier Ophthalmology Hospital from January 2021 to January 2024 were randomly divided into the observation group and the control group,with 41 cases in each group,using a random number table method.Both groups received routine control of intraocular pressure treatment.The observation group received Phaco+LOL combined with TBL treatment simultaneously,while the control group received TBL treatment simultaneously.We compared the visual acuity,intraocular pressure,anterior chamber depth,and incidence of complications between two groups at preoperative,postoperative 3 days,postoperative 1 month,and 3 months.【Results】At 1 month and 3 months after surgery,the observation group had higher visual acuity than the control group,and lower intraocular pressure levels than the control group,with statistically significant differences(P<0.05).At 3 months after surgery,the anterior chamber depth in the observation group was(2.43±0.20)mm,significantly higher than that in the control group(2.02±0.16)mm,with a statistically significant difference(t=10.50,P=0.000).There was no statistically significant difference in the total incidence of complications between the two groups(P>0.05).【Conclusion】The combination of Phaco+LOL and TBL can effectively reduce intraocular pressure and improve visual acuity in patients with angle closure glaucoma complicated with cataracts.
作者
荀政
伍天利
代平春
王瑛
XUN Zheng;WU Tianli;DAI Pingchun(Tongren Aier Ren'ai Eye Hospital,Tongren Guizhou 554300)
出处
《医学临床研究》
CAS
2024年第6期896-899,共4页
Journal of Clinical Research
