白内障超声乳化吸除联合房角分离术治疗急性闭角型青光眼合并白内障的效果观察

Efficacy observation of cataract phacoemulsification combined with goniosynechialysis in treatment of acute angle-closure glaucoma and cataract

目的探讨白内障超声乳化吸除联合房角分离术治疗急性闭角型青光眼合并白内障的临床效果。方法选择2011年3月～2012年3月于本院就诊的34例急性闭角型青光眼合并白内障患者，均采用白内障超声乳化吸除联合房角分离术进行治疗。观察手术前后患者临床症状及体征的改善情况，术后出现的并发症情况。结果手术后患者视力明显提高，眼内压降低，中央及周边前房深度加大，眼房角开放角度减小，与手术前比较差异有统计学意义（P〈0．05）。术后出现前房炎症2眼，虹膜纤维素样渗出1眼，角膜水肿3眼，合并老年黄斑性病变影响视力恢复1眼，脉络膜脱离1眼，未出现瞳孔人工晶体状粘连。结论白内障超声乳化吸除联合房角分离术治疗急性闭角型青光眼合并白内障安全有效，可以明显改善患者的临床症状及体征，值得临床推广应用。

Objective To investigate the clinical efficacy of cataract phacoemulsification combined with goniosynechialysis in treatment of acute angle-closure glaucoma and cataract. Methods 34 cases of patients with acute angle-closure glaucoma and cataract in our hospital from March 2011 to March 2012 were selected and＇were given with cataract phacoemulsification combined with goniosynechialysis treatment.The improvement of clinical symptoms and signs before and after surgery and postoperative complications were observed. Results After surgery,visual acuity was increased,intraocular pressure was decreased,central and peripheral anterior chamber depth were increased,eye angle opening angle were decreased compared with before treatment,the difference was significant （P〈0.05）.There were 2 appear anterior chamber inflammation,1 cellulose-like iris exudation,3 corneal edema,1 combined age-related macular disease affecting visual acuity,1 choroidal detachment,no IOL adhesions pupil. Conclusion The treatment of cataract phacoemulsification combined with goniosynechialysis for acute angle-closure glaucoma and cataract is safe and effective,can significantly improve the patient＇s clinical symptoms and signs,be worthy of clinical application.