超声乳化吸出联合人工晶状体植入术治疗闭角型青光眼临床分析

Clinical analysis of phacoemulsification and intraocular lens implantation in treatment of angle-closure glaucoma

目的探讨超声乳化吸出联合人工晶状体植入治疗闭角型青光眼的方法与临床疗效分析。方法将商丘市东风眼科医院就诊的闭角型青光眼60例86眼患者,随机分为两组:治疗组30例43眼,经超声乳化吸出联合人工晶状体植入术治疗;对照组30例43眼,行小梁切除术治疗。对两组患者治疗后,临床疗效及术后并发症,做随访记录并分析总结。结果治疗组:对30例43眼闭角型青光眼患者治疗后35眼视力≥0.5,所有患者眼压基本降至正常;对照组:治疗后16眼视力≥0.5,部分患者眼压仍高于正常范围。术后并发症,对照组明显高于治疗组。结论超声乳化吸出联合人工晶状体植入术具有切口小、术后恢复快、手术并发症少等优点,是治疗闭角型青光眼安全可靠的方法,值得临床推广应用。

Objective To evaluate the clinical efficacy and the method of phacoemulsification and intraocular lens implantation for angle-closure glaucoma with.Methods In our hospital 60 patients with angle-closure glaucoma,86 eyes were randomly divided into two groups： 43 eyes of 30 patients treated by phacoemulsification and intraocular lens implantation;Control group,43 eyes of 30 patients,the line trabeculectomy.Two groups of patients,the clinical efficacy and complications,do follow-up record and analyze.Results Treatment group： 43 eyes of 30 patients with angle-closure glaucoma after treatment,35 patients with visual acuity ≥ 0.5,all patients returned to normal intraocular pressure base;control group： 16 eyes after treatment visual acuity ≥ 0.5,still higher than the intraocular pressure in some patients the normal range.Postoperative complications,the treatment group was significantly higher than the control group.Conclusions Phacoemulsification and intraocular lens implantation with small incision,rapid recovery,fewer complications,etc,is safe and reliable treatment for angle-closure glaucoma,is worthy of clinical application.