摘要
目的观察原发性闭角型青光眼(primary angle-closure glaucoma,PACG)小梁切除术后并发性白内障再行白内障超声乳化术的临床效果。方法 PACG小梁切除术后白内障患者64例72眼,行颞侧隧道式白内障超声乳化吸除人工晶状体植入术,术后随访6～30个月,观察术后视力、眼压、前房深度及并发症情况。结果患者64例72眼术后视力恢复满意,术后1周矫正视力<0.05者4眼(5.56%),0.05～0.3者12眼(16.67%),>0.3～0.6者35眼(48.61%),>0.6～1.0者20眼(27.78%),>1.0者1眼(1.39%)。不同时期眼压比较,差异无统计学意义(P>0.05)。超声乳化术术前平均前房深度为(2.19±0.25)mm,术后随访平均前房深度为(3.28±0.53)mm,两者比较差异有统计学意义(P<0.05)。手术并发症为早期角膜水肿17例,于1周内消退。结论超声乳化手术治疗PACG小梁切除术后并发性白内障安全、有效,患者视力恢复满意,眼压控制好,并发症少。
Objective To evaluate the effect of phacoemulsification in the treatment of cataract in eyes with primary angle closure glaucoma （PACG） after trabeculectomy. Methods A total of 64 patients 72 eyes with cataract after trabeculectomy were treated by temporal corneal phacoemulsification and intraocular lens inplantation. Visual acuity, intraocular pressure （IOP） , anterior chamber depth and complications were assessed in the postoperation. The follow - up time was from 6 to 30 months. Results All eyes ＂acquired satisfied visual acuity. One week postoperatively, the corrected visual acuity （CVA） showed that 4 eyes（5.56% ） were 〈 0.05,12 eyes （ 16.67% ） were 0.05 ~ 0.3,35 eyes（48.61% ） were 〉0.3 ~0.6,20 eyes（27.78%） were 〉0.6 -1.0,1 eyes （1.39%） was〉l.0. There was no significant difference of the intraocularpressure （lOP） in different periods （ P 〉 0. 05 ）. The anterior chamber depth was （ 3.28 ± 0.53 ） mm after operation, which was significant larger than （ 2.19 ± 0.25 ） mm before operation （P 〈 0.05 ）. The main complications were early postoperative corneal edema, which were mild and faded away within 1 week. Conclusion It is safe and effective to perform phaeoemulsification in treating cataract after successful trabeculectomy in PACG.
出处
《河北医科大学学报》
CAS
2011年第12期1399-1401,共3页
Journal of Hebei Medical University
关键词
青光眼
闭角型
小梁切除术
眼内压
白内障
glaucoma, angle - closure
trabeculectomy
intraocular pressure
cataract
