摘要
目的：研究眼小梁切除、超声乳化术式在原发性闭角型青光眼（ primary angle-closed glaucoma ，PACG）合并白内障中的临床应用效果。 方法：本研究收集从2011-05／2012-05到我院接受治疗的PACG合并白内障的患者51例，年龄46～82岁，对51例患者皆进行小梁切除术（ trabeculectomy ， TL ）联合白内障超声乳化（ Phacoemulsification ，PE）吸除，同时进行人工晶状体植入。 结果：联合治疗降眼压效果较好，术后研究对象视力恢复结果比较满意，且可以明显将前房深度（中央部分）加深；同时研究对象并发症较少，所有研究对象术中都没有出现后囊膜破裂、视网膜脱离及角膜内皮失代偿等较为严重的并发症。手术总成功率达到97％，失败率很低。 结论：TL联合UE治疗PACG，其可以获得比较好的降低眼压的效果，利于患者术后视力的恢复和矫正，可以加深眼部前房深度，同时手术成功率比较高、并发症发生率较低，因而，其综合效果比较好，值得临床推广和广泛应用。
AIM： To research the application effects of trabeculectomy and phaco emulsification in primary angle-closed glaucoma（ PACG） with cataract. METHODS：Fifty-one patients aged from 46 years to 82 years with PACG and cataract from 2011-05/2012-05, were selected in our research.51 patients were all treated with trabeculectomy （ TL ） and phaco emulsification （ PE ） , meanwhile, they were implanted intraocular lens. RESULTS： The effects of combing treatments in reducing intraocular pressure were better, and postoperative visual acuity results were satisfactory.It can deepen the central anterior chamber depth and all researches had fewer complications, and there was no posterior capsular rupture, retinal detachment and corneal endothelial decompensation and other serious complications in all the research objects.Total surgery success rate reached 97%, and the failure rate was very low. CONCLUSION： Trabeculectomy combined with ultrasonic emulsification treating PACG can get a good result of reducing intraocular pressure, and be good for postoperative visual acuity recovery and correction, and it can deepen anterior chamber depth.The surgical success rate is high, with low complication rates, so the general effects are better.It is worthy of clinical application and wide application.
出处
《国际眼科杂志》
CAS
2014年第4期682-684,共3页
International Eye Science
关键词
闭角型青光眼
小梁切除
超声乳化术
疗效
angle-closed glaucoma
trabeculectomy
ultrasonic emulsification
curative effect
