单纯晶状体超声乳化治疗急性闭角型青光眼合并白内障

Clinical study on the treatment of angle-closure glaucoma with cataract by simply phacoemulsification

目的探讨急性闭角型青光眼合并白内障的治疗方法和临床疗效。方法对32例(36眼)急性闭角型青光眼合并白内障采取单纯晶状体超声乳化白内障吸出人工晶状体植入术进行治疗,其中原发性急性闭角型青光眼临床前期4眼(11.11%)、前驱期5眼(13.89%)、急性发作期27眼(75.00%),术后随访6～12月,平均(8.15±4.23)月。结果手术后视力均有提高,最佳矫正视力0.4～0.8者14眼(38.89%),≥1.0者19眼(52.78%)。术后随访眼压在10.48～16.48mmHg。无严重并发症发生。结论单纯晶状体超声乳化可有效治疗急性闭角型青光眼合并白内障。

Objective To investigate the treatment methods and the clinical effects of acute angle-closure glaucoma with cataract. Methods Simply phacoemulsification with posterior chamber intraocular lens implantation was performed on 36 eyes （32 cases ） with acute angle-closure glaucoma with cataract, including 4 eyes （ 11.11% ） with preclinical stage, 5 eyes （ 13.89% ） with premoni- tory stage, 27 eyes （75.00%） with acute attack stage. The average follow-up was 8.15 ±4, 23 months （range 6 - 12 months）. Results Visual acuity improved in all cases. Post-operative best corrected visual acuity was 0. 4 - 0. 8 in 14 eyes （38.89%）, ≥ 1.0 in 19 eyes （52.78%）. The postoperative intraocular pressure was 10.48 - 16.48 mmHg（ 1 mmHg = 0. 133 kPa）. No serious complications were found. Conclusion Simply phacoemulsification with posterior chamber intraocular lens implantation can be a good surgical method in treating angle-closure glaucoma with cataract.