超声乳化联合房角粘连分离术治疗闭角型青光眼8l例临床观察

Clinical observation on phacoemulsification combined with goniosynechiolysis in 86 patients with angle-clo-sure glaucoma

探讨超声乳化联合房角粘连分离术治疗闭角型青光眼的临床疗效。方法选取闭角型青光眼合并白内障患者163例（173眼），随机分为观察组8l例（86眼）和对照组82例（87眼）两组。观察组采用超声乳化白内障吸除＋人工晶体植入联合房角粘连分离术，对照组行复合式小梁切除手术，比较两组手术前后视力、前房深度、房角及眼压的变化情况。结果观察组手术后视力较对照组有明显提高，（P〈0．05）；术后眼压2周时观察组明显低于对照组（P〈0．01）；在前房深度与房角方面，观察组手术前后差异有统计学意义（P〈0，05），两组间手术后比较：观察组前房深度大于对照组（P〈0．05）：观察组房角粘连范围小于对照组（P〈0．05）。结论超声乳化联合房角粘连分离术是治疗闭角型青光眼合并白内障患者的有效方法。

To investigate the clinical effect of phacoemulsification combined with goniosynechiol- ysis in treatment of angle-closure glaucoma. Methods 163 cases of angle-closure glaucoma with cataract were divid- ed into observed group（ 86 cases） and control group（ 87 cases）. The observed group was treated with phacoemulsification cataract extraction, artificial crystalline implantation and goniosynechiolysis, while the control group was treated with compound trabeculectomy. The vision,intraocular pressure and chamber depth after surgeries in the two groups were compared. Results The vision in observed group was enhanced distinctly after surgery,which was significantly better than the control group（ P 〈 O. 05 ）. The intraocular pressure in 2 weeks of observed group after surgery was significantly better than the conrol group（ P 〈 0.01 ）. Moreover the anterior chamber depth and chamber angle of observed group was better than the control group after operation（P 〈 0.05）. Conclusion The treatment of phacoemulsification combined with guniosynechiolysis for angle-closure glaucoma had good clinical effect.