不同手术方式治疗青光眼术后硬核白内障的临床疗效观察

Clinical efficacy of different surgical treatments for nuclear sclerotic cataract after glaucoma surgery

目的探讨不同的手术方法治疗青光眼术后硬核白内障的临床疗效和术后并发症。方法收集本院收治的109例(141眼)青光眼手术后并发硬核白内障患者的临床资料,观察组57例患者(75眼)采用透明角膜切口超声劈核后手术进行治疗,对照组52例(66眼)采用超声乳化碎核手术治疗,比较两组患者手术疗效和术后并发症发生情况。结果术后2组患者的视力恢复情况基本相当,差异无统计学意义(P>0.05),观察组患者术后前房深度分级显著优于对照组,角膜内皮细胞的减少量低于对照组,差异有统计学意义(P<0.05),2组患者术后并发症的发生率基本相当。结论采用透明角膜切口超声劈核后法治疗青光眼术后硬核白内障具有十分显著的疗效,有利于患者术后的早期功能恢复。

Objective To explore clinical efficacy and postoperative complications of different surgical treatments for nuclear sclerotic cataract after glaucoma surgery.Methods The clinical data of 109 patients（141 eyes） nuclear sclerotic cataract after glaucoma surgery were retrospectively reviewed.The patients were divided observation group（n=57,75 eyes） and control group（n=52,66 eyes）.The observation group received clear corneal incision surgical treatment after nucleus fragmentation with ultrasound while the control group received phacoemulsification nuclear fracture surgery.The surgical efficacy and postoperative complications of the two groups were compared.Results After surgery,the vision recovery of the observation group and control group was close,and the difference was not statistically significant（P〈0.05）.The anterior chamber depth grading of the observation group was significantly better than that of the control group.But the reduction of corneal endothelial cells of the observation group was lower than that of the control group.The difference was statistically significant（P〈0.05）.The incidence rates of postoperative complications of the two groups were close.Conclusion The clear corneal incision after the nucleus fragmentation with ultrasound has a remarkable effect on nuclear sclerotic cataract after glaucoma surgery,which is conducive to early functional recovery of the patients.