白内障青光眼联合手治疗急性闭角型青光眼的临床效果

the Clinical Effects of Cataract Glaucoma Hand Treatment of Acute Angle-closure Glaucoma

目的观察多次发作的原发性急性闭角型青光眼采用表面麻醉下白内障青光眼联合手的临床效果。方法对43例(52眼)急性闭角型青光眼合并白内障的患者行表面麻醉下白内障超声乳化人工晶状体植人联合小梁切除术,随访6个月以上。结果手术后视力均较术前提高,≥0.1者47眼(90.39%),≥0.5者29眼(55.77%)。术后6月眼压为11～26mmHg(1mmHg≈0.133kPa),平均眼压为(14.56±4.12)mmHg。48眼(92.31%)眼压维持在正常范围,4眼需要联合降眼压药物才能控制正常眼压水平。结论白内障青光眼联合手治疗急性闭角型青光眼的临床效果满意。

Objective To observe the clinical evaluation of the operation of combining cataract and glaucoma with topical anesthesia.Methods 43 patients （52 eyes） with multiple episodes primary acute angle-closure glaucoma patients with cataract were treated by phacoemulsification and intraocular lens implantation and trabeculectomy, followed up for 6 months. Results Vision of all patients were improved after operation. The postoperative visual acuity was ≥ 0.1 in 47 eyes （90.39%）,≥ 0.5 in 29 eyes （55.77%） .6 months after operation the intraoeular pressure （IOP） was 11 - 26mmHg, mean IOP （ 1 4. 56 ± 4.12） mm H g. IOP of 48 eyes （92.31%） were within normal range, lOP of 4 eyes was controlled with antiglaucoma eye drops.Conclusion The clinical results of phacoemulsification and intraocular lens implantstion and trabeculectomy were satisfactory.