白内障超声乳化吸除联合房角分离术治疗急性闭角型青光眼合并白内障90例疗效观察

Curative effect observation on 90 cases of acute angle closure glaucoma combined with cataract by phacoemulsification combined with goniosynechialysis

目的探讨白内障超声乳化吸除联合房角分离术治疗急性闭角型青光眼合并白内障的临床效果。方法将我院180例急性闭角型青光眼合并白内障的患者平均分为实验组和对照组，实验组患者采用白内障超声乳化吸除联合房角分离术进行治疗，对照组采用青光眼白内障联合术治疗，观察两组患者治疗前后眼压、视力、中央前房深以及并发症发生情况。结果治疗后，实验组患者眼压（14．3±2．7）mmHg明显低于对照组（19．1±3．4）mmHg，而中央前房深（3．31±0．15）mm明显高于对照组（3．01±0．11）mm，并且实验组患者出现前房炎症和睫状体脉络膜脱离的发生率明显低于对照组，差异具有统计学意义（P〈0．05）。结论白内障超声乳化吸除联合房角分离术对急性闭角型青光眼合并白内障有较好的临床效果，能够减少并发症发生。

Objective To investigate the clinical effect of phacoemulsification combined with goniosynechialysis in treatment for acute angle closure glaucoma combined with cataract. Methods In our hospital 180 cases of acute angle closure glaucoma with cataract were divided into experimental group and control group, experimental group was treated by phacoemulsifieation combined with goniosynechialysis treatment, the control group used glaucoma combined with cataract surgery, two groups were observed before and after treatment in intraocular pressure, visual acuity, central anterior chamber depth and complications. Results After treatment, the intraocular pressure of experimental group patients （14.3 ± 2.7） mmHg was significantly lower than that of the control group （19.1 ± 3.4） mmHg, and the central anterior chamber depth （3.31 ± 0.15） mm was significantly higher than that in the control group （3.01 ± 0.11） mm, and the incidence of anterior chamber inflammation and ciliochoroidal detachment in experimental group patients was significantly lower than that in the control group patients, the difference was statistically significant （P 〈 0.05）. Conclusion Phacoemulsification combined with goniosynechialysis for acute angle closure glaucoma with cataract has better clinical effect, can reduce the occurrence of complications.