摘要
目的 探讨慢性闭角型青光眼(chronic angleclosure glaucoma,CACG)伴白内障患者经房角分离术(goniosynechialysis,GSL)结合超声乳化人工晶状体植入术(ph acoemulsification+intraocular lens implantation,Phaco+IOL)治疗的效果。方法 选取2023年4—12月于丹江口市第一医院接受治疗的108例CACG伴白内障患者进行研究。采用随机数字表法分为对照组(n=54)与观察组(n=54)。对照组采用Phaco+IOL+小梁切除术,观察组采用GSL+Phaco+IOL。比较2组术前、术后4个月及8个月的视力、中央前房深度(anterior chamber depth,ACD)、眼压(intraocular pressure,IOP)值及并发症发生情况。结果 术后4个月及8个月,观察组视力分别为(4.16±0.41)(4.65±0.33),均高于对照组的(4.02±0.38)(4.42±0.35),差异有统计学意义(P<0.05)。术后4个月及8个月,观察组ACD分别为(2.32±0.24)mm、(2.49±0.14)mm,均高于对照组的(2.15±0.19)mm、(2.25±0.16)mm,差异有统计学意义(P<0.001)。术后4个月及8个月,观察组IOP值分别为(18.55±2.34)mmHg、(14.19±2.17)mmHg,均低于对照组的(20.99±3.16)mmHg、(15.54±2.83)mmHg,差异有统计学意义(P<0.05)。对照组、观察组并发症总发生率分别为20.37%、7.41%,差异无统计学意义(P > 0.05)。结论 将GSL+Phaco+IOL应用于CACG伴白内障患者中可有效改善其视力、ACD、IOP水平,且具有一定安全性。
Objective To explore the therapeutic effect of goniosynechialysis(GSL)combined with phacoemulsification+intraocular lens implantation(Phaco+IOL)on patients with chronic angle-closure glaucoma(CACG)with cataract.Methods A total of 108 patients with CACG accompanied by cataract who were treated at the Danjiangkou First Hospital,from April to December 2023 were selected for the study.They were divided into the control group(n=54)and the observation group(n=54)by random number table method.The control group was treated with Phaco+IOL+trabeculectomy,while the observation group was treated with GSL+Phaco+IOL.The visual acuity,central anterior chamber depth(ACD),intraocular pressure(IOP)values,and the occurrence of complications of the two groups were compared before surgery,4 months after surgery,and 8 months after surgery.Results After 4 months and 8 months,the visual acuity of the observation group was(4.16±0.41)and(4.65±0.33),respectively,which were higher than(4.02±0.38)and(4.42±0.35)of the control group,and the differences were statistically significant(P<0.05).After 4 months and 8 months,the ACD values of the observation group were(2.32±0.24)mm and(2.49±0.14)mm,respectively,which were higher than(2.15±0.19)mm and(2.25±0.16)mm of the control group,and the differences were statistically significant(P<0.001).After 4 months and 8 months,the IOP values of the observation group were(18.55±2.34)mmHg and(14.19±2.17)mmHg,respectively,which were lower than(20.99±3.16)mmHg and(15.54±2.83)mmHg of the control group,and the differences were statistically significant(P<0.05).The total incidence of complications in the control group and the observation group was 20.37%and 7.41%respectively,and the difference was not statistically significant(P>0.05).Conclusion The application of GSL+Phaco+IOL in patients with CACG and cataracts can effectively improve their vision,ACD,and IOP levels,and has certain safety.
作者
丁均
赵斐
卢玉平
李兵兵
DING Jun;ZHAO Fei;LU Yuping;LI Bingbing(Department of Ophthalmology and Otolaryngology,Danjiangkou First Hospital,Danjiangkou Hubei 442700,China)
出处
《中国卫生标准管理》
2025年第18期105-108,共4页
China Health Standard Management
关键词
慢性闭角型青光眼
白内障
房角分离术
超声乳化人工晶状体植入术
视力
中央前房深度
chronic angle-closure glaucoma
cataract
goniosynechialysis
phacoemulsification+intraocular lens implantation
vision
central anterior chamber depth
