超声乳化吸除白内障联合人工晶状体植入术治疗闭角型青光眼

Phacoemulsification and Intraocular Lens Implantation for Angle-closure Glaucoma

目的探讨超声乳化吸出联合人工晶状体植入术治疗闭角型青光眼合并白内障临床疗效。方法 2008年1月至2009年10月闭角型青光眼合并白内障患者共68例(81眼)采用超声乳化吸出联合人工晶状体植入术治疗观察疗效。结果本组81眼均顺利完成手术随访6月进行手术前、手术后视力、前房深度、眼压测定比较P<0.01有显著的差异性。结论采用晶状体超声乳化吸出联合人工晶状体植入术治疗闭角型青光眼合并白内障手术,既可以达到治疗青光眼,降低眼内压。又能够解除白内障晶状体浑浊所引起的视力下降,无青光眼手术后由于滤过手术器械操作等并发症。减少了因多次眼内手术可能增加术后囊样黄斑水肿,视网膜脱离等并发症。

Objective To evaluate phacoemulsification and intraocular lens implantation for angle-closure glaucoma and cataract patients.Methods From January 2008-2009 on October angle-closure glaucoma and cataract patients with a total of 68 patients（81 eyes） with phacoemulsification and intraocular lens implantation in treatment effects were observed.Results Totally 81 eyes were successfully operated up for 6 month before surgery,postoperative visual acuity,anterior chamber depth,intraocular pressure measurement comparison P0.01 there is significant difference.Conclusion Phacoemulsification and intraocular lens implantation for angle-closure glaucoma and cataract surgery,glaucoma treatment can be achieved not only to reduce intraocular pressure,but also lift the lens opacity caused by the decreased visual acuity,no glaucoma filtration surgery after surgery because complications such as equipment operation.Reduced by repeated intraocular surgery may increase postoperative cystoid macular edema,retinal detachment and other complications.