晶状体超声乳化治疗闭角型青光眼

The management of angle-closure glaucuoma by phacoemulsification

目的探讨晶状体超声乳化白内障摘出治疗闭角型青光眼合并白内障的临床疗效。方法本组临床观察对象为闭角型青光眼29例（37眼）。均有不同程度的品状体浑浊。行巩膜隧道切口晶状体超声乳化白内障摘出折叠式人工晶状体植入术。随访1～21个月（平均13．9月）。结果术后平均眼压（11．25±2．50）mmHg，比术前用药后平均眼压（19．50±10．26）mmHg明显降低，差异有统计学意义（P〈0．05），中央前房深度由术前的（1．47±0．32）mm增加到术后（2．35±0．34）mm，两者比较差异有统计学意义（P〈0．05）。术后视力均有不同程度提高。结论闭角型青光眼并白内障行晶状体超声乳化联合后房型折叠式人工晶状体植入术，在一定程度上可得到有效的治疗。

Objective To investigate the clinical results of phacoemulsification in the management of angle-closure glaucoma with cataract, Methods 29 patients （37 eyes） with angle-closure glaucoma and cataract was studied , which were performed the phacoemulsification with foldable intraocular lens implantation through scleral tunnel incision. The follow-up period was 3-22 months. Resuits. The intraocular pressure was reduced from preoperative mean of（ 19.50 ± 10.26） mmHg to postoperative mean of（ 11.25 ± 2, 50） mmHg （ P 〈 0.05 ）, The mean anterior chamber depth was （ 1.47 ± 0.23 ） mm preoperatively and（ 2. 35 ± 0. 34 ） mm postoperatively （ P 〈 0.05 ）. The best corrected visual aculty was improved. Conclusions Phacoemulsification with posterior chamber foldable intraocular lens（IOL） implantation can be a good alternative in treating angle-closure glaucoma with cataract.