白内障超声乳化联合前房角成形术治疗原发性闭角型青光眼的疗效观察

Clinical study of phacoemulsification and gonioplasty in management of primary angle closure glaucoma

目的:评价白内障超声乳化后房型人工晶状体植入联合前房角成形术治疗原发性闭角型青光眼(primary angle-closure glaucoma,PACG)合并白内障的临床疗效。方法:分析1998-01/2008-01在我科住院的PACG患者35例35眼,其中急性PACG28例,慢性PACG7例,均有不同程度的晶状体混浊,行白内障超声乳化后房型人工晶状体植入联合前房角成形术,随访6mo。结果:术后平均眼压14.6±2.3mmHg,比术前用药后眼压23.2±3.6mmHg明显降低,中央前房深度由术前的1.64±0.32mm,增加到术后的3.16±0.53mm,差异均有统计学意义(P<0.05)。术后32眼(91%)最佳矫正视力均有不同程度提高。结论:白内障超声乳化后房型人工晶状体植入联合前房角成形术,可有效治疗PACG合并白内障。

AIM： To evaluate the clinical effect of phacoemulsification with posterior chamber intraocular lens implantation and gonioplasty in management of patients with primary angle closure glaucoma （PACG）and cataract. METHODS. Phacoemulsification with posterior chamber intraocular lens implantation and gonioplasty was performed on 35 cases （35 eyes） with PACG and cataract, including 28 cases with acute PACG,7 cases with chronic PACG, and the time of postoperative follow-up was 6 months. RESULTS, The intraocular pressure was reduced from a preoperative mean of 23.2 ± 3.6mmHg to a postoperative mean of 14.6±2.3mmHg（P〈0.05）. The mean anterior chamber depth was 1. 64 ± 0. 32mm preoperatively and 3.16± 0. 53mm postoperatively （ P 〈 0. 05）. The best corrected visual acuity was improved in 32 of 35 eyes （91%）. CONCLUSION. Phacoemulsification with posterior chamber intraocular lens implantation and gonioplasty can be a good alternative in treating PACG with cataract.