超声乳化吸除联合晶状体植入治疗急性闭角型青光眼伴白内障23例被引量：1

Phacoemulsification combined with intraocular lens implantation in 23 patients with acute angle-closure glaucoma and cataract

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摘要目的探讨超声乳化（phacoemulsification，phaco）联合人工晶体植入术治疗伴有白内障的急性闭角型青光眼的临床疗效。方法将急性闭角型青光眼伴有晶体混浊的50岁以上连续性患者46例46眼平均分成2组，phaco组行超声乳化联合折叠型人工晶体植入术，对照组为小梁切除术。比较手术前后眼压和前房深度的变化。结果phaco组和对照组术后3个月的眼压和前房深度与术前比较差异有统计学意义（P〈0．001），眼压分别为（16．65±1．97）、（17．74±2．83）mmHg；前房深度分别为（3．13±0．24）、（2．31±0．31）mm。对照组中有5眼（21．74％）眼压高于21mmHg，与phaco组的眼压升高率比较，两者差异有统计学意义（P=0．025，P〈0．05）。对照组中有6眼（26．00％）6～15个月后行超声乳化手术。结论超声乳化联合人工晶体植入术治疗急性闭角型青光眼合并白内障安全、有效。 Objective To evaluate the clinical effects of phacoemulsification（phaco） with foldable intraocular lens（IOL） implantation in the treatment of acute angle-closure glaucoma with cataract. Methods 46 cases （46 eyes） more than 50 years old and with acute angle-closure glaucoma and cataract were studied. 23 eyes were subjected to phacoemulsification with foldable intraocular lens implantation （the phaco group） and 23 eyes were subjected to trabeculectomy （ the control group）. Intraocular pressure （IOP） and chamber depth were recorded pre-and post-operation. Results In the two groups, the anterior chamber depth was increased and the IOP level was decreased. The mean IOP level in the phaco and control groups were 16.65 ± 1.97 and 17.74 ± 2.83 mmHg, and the mean anterior chamber depth were 3.13 ± 0.24 and 2.31 ± 0.31nma pre-and post-operation （ P 〈 0. 001 ）. 5 eyes（21.74%） in the control group had high IOP 3 months after the operations, and the difference was statistical between the two groups（ P = 0.025, P 〈 0.05）. Also 6 eyes （26%） in the control group were subjected to phacoemulsification 6-15 months after the operations. Conclusion Phacoemulsification with foldable IOL implantation is a safe and effective method for acute angle-closure glaucoma with cataract.

作者赵鲁新翟洪潘洁

机构地区淄博市中心医院眼科

出处《山东大学耳鼻喉眼学报》 CAS 2008年第3期260-262,共3页 Journal of Otolaryngology and Ophthalmology of Shandong University

关键词超声乳化急性闭角型青光眼人工晶体折叠型 Phacoemulsification Glaucoma, acute angle-closure Intraocular lens, foldable

分类号 R775.2 [医药卫生—眼科] R776.1 [医药卫生—眼科]

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