白内障超声乳化术联合房角分离术治疗原发性闭角型青光眼临床研究

Clinical Study of Phacoemulsification Combined with Primary Angle Closure Glaucoma in the Treatment of Primary Angle Closure Glaucoma

目的探讨白内障超声乳化术联合房角分离术治疗原发性闭角型青光眼临床效果。方法选取我院收治的35例(共38眼)原发性闭角型青光眼患者,均给予白内障超声乳化术联合房角分离术治疗,观察患者术前与术后1周、1个月、6个月眼压、视力变化情况。结果治疗后1周、1个月、6个月患者眼压均明显低于治疗前,视力均明显优于治疗前,差异有统计学意义(P<0.05)。结论对原发性闭角型青光眼患者给予白内障超声乳化术联合房角分离术,可有效降低眼压、提高患者视力。

Objective To investigate the clinical effect of phacoemulsification combined with primary angle separation in the treatment of primary angle closure glaucoma. Methods 35 cases （38 eyes） with primary angle closure glaucoma were selected in our hospital, and all patients were treated with phacoemulsification combined with room angle separation. Pntraocular pressure and visual acuity changes preoperative and postoperative 1 week, 1 month, 6 months were observed. Results After 1 weeks, 1 months, 6 months, the intraocular pressure was significantly lower than before treatment, visual acuity was significantly better than before treatment, the difference was statistically significant （P〈0.05）. Conclusion Phacoemulsification combined with the room angle separation for primary angle closure glaucoma patients can effectively reduce the intraocular pressure, and improve the patient＇s visual acuity.