超声乳化白内障吸除人工晶状体植入术联合房角分离术治疗闭角型青光眼

Efficacy observation of phacoemulsification with intraocular lens implantation and goniosynechialysis in the treatment of angle-closure glaucoma

目的:观察超声乳化白内障吸除人工晶状体植入术联合房角分离术治疗原发性闭角型青光眼的临床疗效。方法:选取2008-05/2012-02因原发性闭角型青光眼入住我院的患者82例82眼,筛选条件为术前眼压控制后观察晶状体明显混浊,房角关闭≤1/2周,视力≤0.3者,随机平均分为行超声乳化白内障吸除人工晶状体植入术联合房角分离组(A组)和单纯超声乳化联合人工晶状体植入术组(B组),观察两组术后1mo房角开放情况、眼压、前房深度及最佳矫正视力等指标。结果:术后1mo最佳矫正视力、眼压、前房深度比较两组无统计学差异(P>0.05)。A组术后1mo房角全部开放的为32例(78%),B组术后1mo房角全部开放的为23例(56%),两组比较有统计学差异(P<0.05)。结论:超声乳化白内障吸除人工晶状体植入术联合房角分离是一种有效地治疗原发性闭角型青光眼的手术方式,不仅可以提高视力,而且可以有效开放房角,控制术后眼压。

AIM：TO observe the efficacy of goniosynechialysis in the treatment of angle closure glaucoma.METHODS：Totally 82 patients（82 eyes） with angleclosure glaucoma were selected in our hospital from May2008 to February 2012.The screening conditions were that the lenses were opacity with IOP could be controlled to normal,angle closure ≤1/2 circle and vision ≤0.3.The groups were randomly divided into 2 groups,the first group,in which the phacoemulsification,intraocular lens（IOL） implantations and goniosynechialysis were performed;the second groups,in which phacoemulsification and IOL were performed.IOP,visual acuity,anterior chamber depth and gonioscope findings before and after operation were recorded and analyzed.RESULTS：On postoperative visual acuity,there were no significant differences between the 2 groups（P〈0.05）.There was no significant difference in IOP and anterior chamber depth between the 2 groups after operations.In the first group,anterior chamber angle fully opened in 32cases（78%）.In second groups,anterior chamber angle fully opened in 23 cases（56%）.The difference between the two groups were statistically significant（P〈0.05）.CONCLUSION：Phacoemulsification and IOL implantation combined with goniosynechialysis is an effective treatment for glaucoma surgery.Not only can improve visual acuity,but also can effectively develop the angle,and control intraocular pressure.