白内障超声乳化联合房角分离术治疗闭角型青光眼

Analysis of phacoemulsification combined goniosychialysis for cataract extraction in treatment of angle-closure glaucoma

目的:分析白内障超声乳化吸出+人工晶状体植入联合房角分离术治疗闭角型青光眼的临床效果。方法:回顾性分析合并有白内障的闭角型青光眼患者,且房角关闭粘连范围≤180°的患者46例56眼,行白内障超声乳化吸出+人工晶状体植入联合房角分离手术,观察分析术前和术后眼压、视力、前房深度、前房角的变化。结果:术后眼压全部控制在21mmHg(1mmHg=0.133kPa)以下,最佳矫正视力均有不同程度的提高,前房深度明显增加,房角均有不同程度开放。术中、术后无严重手术并发症。术前和术后眼压、前房深度、最佳矫正视力差异有统计学意义(P<0.05)。结论:选择对合适的闭角型青光眼合并白内障的患者施行白内障超声乳化联合房角分离手术能够获得满意的临床效果。

AIM： To analyze the effect of phacoemulsification combined goniosychialysis for cataract extraction in the treatment of angle-closure glaucoma（ACG）. METHODS： Totally 46 cases（56 eyes）of ACG which had cataract and closed range of anterior chamber angle less than or equal 180° received phacoemulsification surgery with intraocular lens（IOL）implantation combined goniosychialysis. The intraocular pressure（IOP）, vision, depth of anterior chamber, width of anterior chamber angle of preoperative and postoperative were observed.RESULTS： The IOP of 56 eyes was all under the control of 21mmHg（1mmHg=0.133kPa）after operation and the anterior chamber angles became wilder than preoperative. Best-corrected visual acuity was improved. There was no serious operation complication. The preoperative and postoperative IOP, best-corrected visual acuity and anterior chamber depth had statistically significant differences.CONCLUSION：We can receive satisfactory clinical effect of phacoemulsification surgery combined goniosychialysis for the proper patient who suffering from ACG and cataract.