超声乳化晶状体吸出治疗原发性闭角型青光眼的临床研究

Clinical study of primary closed-angle glaucoma treating with ultrasonic emulsification sucked out of the lens

目的探讨超声乳化晶状体吸出手术对原发性闭角型青光眼的临床治疗效果。方法选取原发性闭角型青光眼患者72例(81眼),行超声乳化晶状体吸出联合人工晶状体植入术,对比观察手术前后患者的视力、眼压、前房深度、房角关闭情况。结果治疗后,65.43%原发性闭角型青光眼患者的视力有所提高,眼压控制良好,而且急性闭角型青光眼组优于慢性闭角型青光眼组,术后前房深度增加,房角开放。结论超声乳化晶状体吸出术操作安全、简捷,能有效控制眼压,迅速提高视力,是原发性闭角型青光眼的优先治疗方法。

To study the clinical effect of primary closed-angle glaucoma treating with the ultrasonic emulsification sucked out of the lens.【Methods】To collect 72 patients（81 eyes） with primary closed-angle glaucoma and treat with the supersonic emulsified phacoerysis combining with implantation of artificial lens,then to observe comparely patients, acuity of vision,intraocular pressure,anterior chamber depth and angle closure.【Results】The acuity of vision with 65.43% of patients increased. Their intraocular tension were controlled favourably,and the patients in acute group were better than those in chronic group. The anterior chamber depth increased and angle was open.【Conclusion】It can control the intraocular tension favourably and increase the acuity of vision rapidly and is safe and simple to treat the primary closed-angle glaucoma with the supersonic emulsified phacoerysis combining with implantation of artificial lens.