超乳治疗慢性闭角型青光眼临床观察

Phacoemulsification and lens implantation for chronic angle-closure glaucoma with cataract.

目的观察透明角膜切口晶状体超声乳化吸出联合人工晶状体植入治疗慢性闭角型青光眼合并白内障的疗效。方法原发性慢性闭角型青光眼20例(22眼),视力<0.1,晶状体不同程度浑浊,行晶状体超声乳化吸出联合人工晶状体植入术。结果术前用药后眼压(28.63±13.27)mmHg,术后为(15.42±3.86)mmHg(t=4.243,P<0.05);术后房角不同程度开放。结论透明角膜切口晶状体超声乳化吸出联合人工晶状体植入术可有效地治疗因晶状体阻滞合并白内障的慢性闭角型青光眼。

Objective To detect the effects of phacoemulsification and lens implantation for chronic angle-closure glaucoma with cataract. Methods 22 eyes with chronic angle-closure glaucoma and cataract were performed phacoemulsification and lens implantation. The preoperative visual acuity was less than 0.1. Preoperative and postoperative visual acuities, the depth of anterior chamber, the angle of anterior chamber and intraocular pressure of each eye were recorded with following-up ranged from 3 months to 3 years.Results The mean postoperatire IOP（ 15.42 ± 3. 87mmHg） was significantly decreased compared to preperative IOP（28.63 ± 13.28mmHg, t = 4.243, p 〈 0.05 ） ;The postoperative best corrected visual acuities were improved significantly in 15 eyes（68% ）, Conclusion Phacoemulsifieation with IOL implantation can be a good alternative in treating chronic angle-closure glaucoma with cataract.