摘要
目的评价超声乳化白内障吸除人工晶状体植入治疗闭角型青光眼疗效。方法 2015年2月—2016年5月医院眼科收治的原发闭角型青光眼合并白内障患者88例,根据入院顺序,结合患者的意愿分组,对照组42例,观察组46例,分别采用小梁切除术或房角分离术、超声乳化白内障吸除人工晶状体植入治疗。结果末次随访,观察组与对照组眼压水平低于治疗前,两组前房深度、视力水平高于治疗前,观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,观察组眼内压无药控制率低于对照组,差异有统计学意义(P<0.05)。结论超声乳化白内障吸除人工晶状体植入治疗闭角型青光眼在改善视力方面有明显优势,同时还可降低并发症发生风险,但术后可能需要用药控制眼内压。
Objective To evaluate the efficacy of phacoemulsification and intraocular lens implantation for angle closure glaucoma. Methods From February 2015 to May 2016, 88 patients with primary angle closure glaucoma complicated with cataract were admitted in our hospital. According to the order of admission, 42 patients in the control group and 46 cases in the observation group were divided into two groups, trabeculectomy or room separation, phacoemulsification and intraocular lens implantation were used respectively. Results At the last follow-up, the IOP in the observation group and the control group was lower than that in the treatment group, and the anterior chamber depth and visual acuity of the two groups were higher than those before the treatment, and the observation group was higher than that of the control group, the difference was statistically significant（P〈0.05）. The complication rate of the observation group was lower than that of the control group, and the control rate of intraocular pressure in the observation group was lower than that in the control group, the difference was statistically significant（P〈0.05）. Conclusion Phacoemulsification and intraocular lens implantation for angle closure glaucoma have obvious advantages in improving visual acuity and reducing the risk of complications. However, intraocular pressure may be controlled by medication after surgery.
出处
《中国继续医学教育》
2017年第18期109-110,共2页
China Continuing Medical Education
