摘要
目的:评估超声乳化手术治疗原发性闭角型青光眼(primary angle-closure glaucoma,PACG)的临床效果及预后影响因素。方法:对合并PACG白内障的患者60例70眼,其中急性PACG43眼,慢性PACG27眼。采用超声乳化白内障摘出联合折叠式人工晶状体植入手术治疗,手术前后观察视力、眼压、房角镜检查、前房深度等。术后随访6mo。结果:手术前后比较:视力提高(P<0.05);平均眼压下降(P<0.01);房角不同程度开放(P<0.01);前房深度增加(P<0.01)。手术成功率:急性PACG组高于慢性PACG组,差异有统计学意义(P<0.05)。结论:超声乳化手术对急性PACG治疗效果优于慢性PACG,慢性期及慢性PACG治疗效果差。
AIM： To evaluate the clinical outcomes and affected factors of prognosis of cataract extraction by phacoemulsification with intraocular lens implantation in eyes with primary angle-closure glaucoma （PACG） and co-existing cataract. METHODS： Totally 60 cases （70 eyes） of PACG with cataract, including 43 eyes with acute primary angle- closure glaucoma （APACG）, 27 eyes of chronic primary angle- closure glaucoma （CPACG）. The main outcome measures included： visual acuity, intraocular pressure, gonioscopy, depth of anterior chamber （ACD）. Patients were examined 6 months after surgery. RESULTS： After phacoemulsification, visual acuity was improved （ P 〈 0. 05 ）, postoperative mean lOP was decreased （P〈 0. 01 ）, part of anterior chamber was widened （ P〈0.01 ）. The depth of anterior chamber（ACD） was deepen （ P〈0.01 ）. CONCLUSION ： Phacoemulsification is more effective for acute APACG than for CPACG.
出处
《国际眼科杂志》
CAS
2013年第7期1367-1369,共3页
International Eye Science
