急性闭角型青光眼合并白内障手术治疗的疗效观察

Clinical observation of operation therapeutic on acute angle-closure glaucoma combined with cataract

目的:观察前房角分离白内障囊外摘除后房型人工晶状体植入联合青光眼小梁切除治疗原发性急性闭角型青光眼合并白内障的临床效果。方法:对29例(29眼)急性闭角型青光眼合并白内障行白内障囊外摘除后房型人工晶状体植入联合小梁切除术。结果:29例(29眼)术后前房深度增加,视力较前提高,术后无严重并发症。结论:前房角分离、白内障囊外摘除后房型人工晶状体植入联合小梁切除术可有效降低眼压,开放房角,提高视力,取得了良好的治疗效果。

AIM： To observe the clinical effect of separation of angle of anterior chamber combined with exrtacapsular cataract with intraocular posterior chamber lens implantation and trabeculectomy on acute angle-closure glaucoma complicated with cataract. METHODS： Twenty-nine cases （29 eyes） with acute angle-closure glaucoma complicated with cataract were operated by separation of angle of anterior chamber combined with exrtacapsular cataract with intraocular posterior chamber lens implantation and trabeculectomy. RESULTS： Postoperatively, intraocular pressure was decreased, the chamber depth was increased, visual acuity was raised after operation in 29 eyes, and no severe complication occurred. CONCLUSION： Characterized by decreasing intraocular pressure, opening anterior chamber, and raising visual acuity, separation of angle of anterior chamber combined with exrtacapsular cataract with intraocular posterior chamber lens implantation is a good operative therapy for acute angle-closure glaucoma complicated with cataract.