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超声乳化联合前房角分离术治疗闭角型青光眼伴白内障 被引量:6

Phacoemuisification combined with goniosynechialysis for the treatment of angle-closure glaucoma with cataract
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摘要 目的观察晶状体超声乳化联合前房角分离术治疗急性及慢性闭角型青光眼伴发白内障的临床效果。方法2012年1月至2014年8月于我院治疗的急性闭角型青光眼伴发白内障30例(30眼),慢性闭角型青光眼伴发白内障19例(27眼)。均进行晶状体超声乳化联合前房角分离术。对两组患者手术前后的眼压、视力、并发症进行观察比较。结果术后随访6~12个月,两组患者术后眼压均明显降低,达到正常范围(P〈0.05),术后视力均有所提高(尸〈0.05),慢性闭角型青光眼组术后并发症发生率明显少于急性组。结论晶状体超声乳化联合前房角分离术治疗伴发白内障的急性与慢性闭角型青光眼同样有效。 Objective To observe the effect of phacoemulsifieation combined with goniosyneehialysis for the treatment of angle-closure glaucoma with cataract. Methods From January 2012 to August 2014,30 eyes of 30 patients with acute angle-closure glaucoma and coexisting cataract, and 27 eyes of 19 patients with chronic angle-closure glaucoma and coexisting cataract in our hospital were selected. All patients uuderwent phacoemulsif/eation combined with goniosyneehialysis. The intraoeular pressure, visual acuity and complications before and alter the surgery were observed and compared. Results All patients were followed up for 6-12 months. The intrancular pressure of the patients in two groups were reduced to normal after the surgery (P 〈0.05 ). The visual acuity of patients in two groups were improved aiier the surgery(P 〈 0.05 ). The incidence ot l,ostoperative complications in patients with chronif angleclosure glaucoma was lower than that in patieHts with acute angle-closure glaucoma. Conclusion The phacoemulsification combined with goniosynechialysis for angle-closure glaucoma and eoexisting cataract has good effect.
作者 李景波 丁琪
出处 《中华眼外伤职业眼病杂志》 2016年第9期676-679,共4页 Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词 晶状体超声乳化术 前房角分离术 青光眼 闭角型 白内障 Phacoemulsification Goniosynechialysis Glaucoma, angle-closure Cataract
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