超声乳化治疗合并白内障的闭角型青光眼临床观察

Clinical observation of the phacoemulsification in the treatment of angle-closure glaucoma combine with cataract

目的观察超声乳化白内障吸除人工晶体植入术治疗合并白内障的闭角型青光眼的疗效。方法对本院2009年1月～2011年1月收治的急慢性闭角型青光眼合并白内障的患者36例(40眼)行超声乳化白内障吸除人工晶体植入术,观察手术前后眼压、视力及房角变化。随访6个月～2年。结果术后眼压[(12.62±4.23)mmHg]比术前药物控制眼压[(24.83±8.62)mmHg]明显降低,差异有统计学意义(P<0.01)。前房深度增加,房角加宽。视力均有不同程度提高。结论超声乳化白内障吸除人工晶体植入术可有效降低眼压,可作为合并有白内障的闭角型青光眼的有效选择手段之一,具有降压、增视双重作用。

Objective To observe the curative effect of phacoemulsification with intraocular lens implantation in the treat- ment of angle-closure glaucoma with cataract. Methods Phacoemulsification with intraocular lens implantation was performed on 40 eyes of 36 angle-closure glaucoma with cataract patients received in our hospital from January 2009 to January 2011. The change of intraocular pressure, vision, and chamber angle between preoperation and postoperation were observed. Results The intraocular pressure after surgery was much more lowered than that controlled by drugs [（12.62±4.23） mm Hg vs （24.83±8.62） mm Hg]. The difference was statistically significant （P 〈 0.01）. The anterior chamber depth increased and the chamber angle broadened. The vision were improved to varying degrees. Conclusion Phacoemulsification with intraoeular lens implantation can efficiently reduce intraocular pressure and can be treated as one of the effective methods of curing an- gle-closure glaueomawith cataract with double function of reducing intraocular pressure and improving eyesight.