白内障超声乳化治疗持续高眼压状态下急性闭角型青光眼的临床观察

Clinical Study of Cataract Phacoemulsifi-cation in the management of acute-closure glaucoma with continuous high intraocular pressure

目的:探讨急性闭角型青光眼在高眼压状态下行白内障超声乳化术的临床疗效。方法:对31例31眼持续高眼压状态下的急性闭角型青光眼合并白内障患者行白内障超声乳化联合后房折叠人工晶状体植入术,随访6mo～2a,观察术后视力、眼压及前房角的变化。结果:术后视力明显改善,矫正视力≤0.1者2眼(6%),0.1～0.2者8眼(26%),0.3～0.6者15眼(48%),0.8～1.0者6眼(19%)。术后1wk眼压均控制正常。术中或术后未出现脉络膜上腔出血、视网膜出血或睫状环阻塞性青光眼等严重并发症。结论:急性闭角型青光眼持续高眼压状态下行白内障超声乳化吸出是安全有效的。

AIM： To investigate the clinical results of phacoemulsification in the management of acute-closure glaucoma with continuous high intraocular pressure. METHODS： The phacoemulsification operations were peormed in 31 case 31 eyes of acuteangle-closure glaucoma and cataract under higher intraocular pressure. The postoperative follow up was 6months to 2 years, and the vision and complications were observed. RESULTS： The visual acuity of all cases was improved, the corrected visual acuity in 2 eyes（6% ） was under 0.1, 8 eyes （26%） between 0. 1 and 0. 2, 15 eyes （48%） between 0.3 and 0.6, 6 eyes（19%） between 0.8 and 1.0. The postoperative intraocular pressure remained normal in all eyes after one week. No serious complications such as choroidal hemorrhage, intraocular hemorrhage and malignant glaucoma were found. CONCLUSION： The phacoemulsification with posterior chamber intraocular lens implantation in the management of acuteangle-closure glaucoma under higher intraocular pressure is safe and efficient.