超声乳化白内障摘出治疗急性闭角型青光眼临床观察

Clinical observation of the treatment of acute angle-closure glaucoma with phacoemulsification

目的探讨超声乳化术治疗白内障合并急性闭角型青光眼的疗效。方法施行超声乳化白内障摘出联合人工晶状体植入术治疗白内障合并急性闭角型青光眼22例(22只眼)。结果术后17只眼眼压控制在13～21mmHg。最佳矫正视力较手术前提高2～4行。结论晶状体超声乳化摘出联合人工晶状体植入术是治疗白内障合并急性闭角型青光眼的一种有效手术方式,特别是对于急性闭角型青光眼合并成熟期和近成熟期的白内障尤为适合。

Objective To investigate the operation method of acute angle-closure glaucoma. Methods 22 patients （22 eyes） of acute angleclosure galucoma accepted phacoemulsification with intraocular lens implantation. Results The intraocular pressure of 17 eyes were normal, the best corrected visual acuty improved 2 -4 lines compared with preoperation. Conclusion Phacoemulsificafion with intraecular lens implantation is a new and effect way to acute angle-closure glaucoma,especially to nfixed cataract of midterm and premature.