小切口白内障摘出治疗急性闭角型青光眼

The clinical effects of cotaract extraction and intraocular lens implantation in the treatment of acute angle-closure glaucoma

目的评价小切VI白内障摘出手术治疗急性闭角型青光眼的临床效果。方法对31例（52眼）青光眼合并白内障在表面麻醉下行小切口白内障摘出人工晶状体植人手术，并观察术后情况。结果所有患眼术后视力均提高，≤0．1者2眼，0．2～0．3者8眼，0．4～0．8者28眼，≥1．0者14眼。随访期间，51眼眼压在正常范围内，1眼眼压增高，滴用0．25％噻吗洛尔滴眼液眼压控制在正常范围。随访期间视野无进行性损害。结论白内障摘出联合人工晶状体植人手术治疗急性闭角型青光眼安全有效。

Objective To observe the clinical evaluation of intraocular lens implantation in the treatment of acute angle-closure glaucoma. Methods 31 patients （52 eyes ） with primary acute angle-clo-sure glaucoma patients with cataract were treated by cataract extraction and intraoeular lens implantation, fol-lowed up for 6 months. Results Vision of all patients were improved after operation. The postoperative vis- ual acuity was ≤0.1 in 2 eyes （3.85 % ） ,0.2 - 0. 3 in 8 eyes （ 15.39% ） ,0.4 -0.8 in 28 eyes （53.85 % ）, ≥ 1.0 in 14 eyes（26. 91% ） o Follow-up period, the intraocular pressure（IOP） of 51 eyes（98.08% ） were within the normal range, IOP of 1 eye was controlled with O. 25% timolol eye drops in the normal range. Dur-ing follow-up the visual field didn＇t damage. Conclusion The clinical results of intraocular lens implanta-tion in the treatment of acute angle-closure glaucoma were safety and satisfactory.