白内障超声乳化人工晶状体植入联合房角分离术治疗闭角型青光眼临床观察

Clinical observation of phacoemulsiiication and intraocular lens implantation combined with goniosychialysis for treatment of angle-closure glaucoma

目的观察白内障超声乳化人工晶体植人联合房角分离术治疗合并有白内障的原发性闭角型青光眼的效果。方法回顾2006年6月至2009年6月经治疗的原发性闭角型青光眼合并白内障35例（38只眼），行透明角膜切口晶状体超声乳化吸出、后房型人工晶状体植入术联合房角分离术。观察手术前后视力、眼压、前房深度、前房角及视野的变化，并分析术后并发症。随访6个月至3年。结果术后随访期间所有术眼眼压较术前显著降低，中央前房深度明显增加，30只眼（占79％）房角完全开放，36只眼（94％）最佳矫正视力比术前提高。结论白内障超声乳化人工晶状体植入联合房角分离术能有效降低眼压、加深前房、开放房角和提高视力，是有效安全的手术方法。

Objective To observe the clinical effects ofphacoemulsification and intraocular lens implantation combined with goniosychialysis for treatment of angle-closure glaucoma. Methods From June 2006 to June 2009, 35 cases （38 eyes） of primary angle-closure glaucoma with cataract were performed pbacoemulsification and intraocular lens implantation combined with goniosychialysis. The changes of vision, intraocular tension, anterior chamber depth, anterior chamber angle and visual field before and after operation were observed, while the postoperative complications were analyzed. The period of follow-up was six months to three years. Results The intraocular tension of 38 eyes remarkably decreased and the anterior chamber depth obviously increased, compared with that before surgery. The anterior chamber angles of 30 eyes （79%） were completely opera and the optimal corrected vision of 36 eyes （94%） improved in different degrees. Conclusions Phacoemulsification and intraocular lens implantation combined with goniosychialysis is a safe and effective surgery for treatment of angle-closure glaucoma, which can effectively decrease intraocular tension, deepen anterior chamber, open anterior chamber angle and improve vision.