EAS-1000观察白内障摘出治疗闭角型青光眼的临床效果

Treatment of angle-closure glaucoma by extraction of cataract using EAS-1000

目的应用EAS-1000评价单纯超声乳化白内障摘除联合后房型人工晶状体植入术治疗闭角型青光眼合并白内障的临床疗效。方法回顾性研究2005年10月～2007年4月收治的资料完整的闭角型青光眼合并白内障患者21例24眼,单纯行超声乳化白内障摘出联合后房型人工晶状体植入术,术后随访3～18个月,应用EAS-1000眼前段分析系统进行照相分析。结果所有患者术中、术后均没有出现严重的并发症,术后视力均较术前提高,21眼术后眼压正常,3眼加用抗青光眼滴眼液控制正常,术后平均眼压(17.08±3.13)mmHg,与术前眼压(26.17±3.46)mmHg相比,差异有统计学意义(P<0.05);术后平均前房深度(3.73±0.34)mm与术前(1.47±0.18)mm相比差异有统计学意义(P<0.05);术前患者虹膜膨隆明显,术后所有病例前房角均重新开放或部分开放增宽,虹膜膨隆消失,术后房角宽度(36.53±2.22)deg与术前(15.32±1.75)deg相比差异有统计学意义(P<0.05)。结论单纯超声乳化白内障摘除联合后房型人工晶状体植入术可有效治疗合并白内障的闭角型青光眼。

Objective To evaluate the clinical effect of phacoemulsification with posterior chamber intraocular lens implantation （PC-IOL） in manapenent of angle-closure glaucoma with cataract using EAS- 1000. Methods Twenty-four eyes of 21 patients received PC-IOL implantation from Oct. 2005 to Apr. 2007 were retrospectively studied, and followed up 3 - 18 months postoperatively. The anterior segment parameters were measured and analysed by EAS-1000 system. Results All patients hadn＇ t severe complications, and the vision were improved in 21 eyes. lntraocular pressure was controlled to normal but 3 eyes needed antiglaueoma agent. The intraocular pressure changed from （26.17±3.46 ） mmHg preoperatively to （ 17.08±3.13 ） mmHg postoperatively （ P 〈 0.05 ）. The depth of anterior chamber changed from （ 1.47 ± 0.18 ） mm to （ 3.73 ± 0.34） mm （ P 〈 0.05 ）. After operation all cases＇ chamber angle reopened or some part of chamber angle became wide. The angle of anterior chamber changed from （ 15.32 ± 1.75 ） deg to （36.53 ± 2.22） deg （ P 〈 0.05 ）. Conclusion Treating of angle-closure glaucoma with cataract by extraction cataract and lens implantation is an effective choice.