白内障超声乳化术治疗闭角型青光眼临床分析

Clinical analysis of cataract phacoemulsification in the management of acute closure glaucoma

目的观察超声乳化白内障吸除人工晶状体植入治疗合并白内障的原发性闭角型青光眼的临床疗效。方法 36例(36眼)原发性闭角型青光眼患者伴有不同程度晶状体混浊,矫正视力,光感～0.2;裂隙灯检查,周边前房均≤1/4CT,伴周边虹膜膨隆;房角检查,粘连关闭范围均≤1/2圆周。行超声乳化白内障吸除人工晶状体植入术,观察患者术后眼压、视力、周边前房深度等情况。术后随访时间为3个月。结果术后眼压控制在10～17mmHg正常范围内。术后所有患者的矫正视力均有不同程度的提高,矫正视力0.2～1.0。术后全部患者周边前房深度均≥1CT。结论超声乳化白内障吸除术既可提高视力,又可控制眼压,可有效治疗合并白内障的原发性闭角型青光眼。

Objective To observe the curative effect on treating primary angle-closure glaucoma patients who complicated with cataract with phacoemulsification.Methods 36patients （36eyes）with cataract and primary angle-closure glaucoma complicated with different degrees lens opacity.Among them,the corrected visual acuity：sense of light～0.2,examination with slit-lamp micro-scope：the anterior chamber border ≤1/4CTwith the iris border swelling.Chamber angle examination：the scope of adhe-sion and closure ≤1/ 2round.The IOP （intraocular pressure）,visual acuity,the depth of anterior chamber border were observed postoperatively.The followup was 3months.Results The IOP were controlled in normal .The vision of all patients were improved differently.The corrected visual acuity：sense of 0.2～1.0.Postoperatively,the anterior chamber borders depth was higher than1CT.Conclusion Phacoemulsification not only could improve the vision,but also could control IOP of the patients.