白内障超声乳化术联合房角分离术治疗急性闭角型青光眼

Phacoemulsification combined with goniosynechialysis in the treatment of acute angle-closure glaucoma

目的观察白内障超声乳化术及房角分离术治疗急性闭角型青光眼临床效果。方法回顾性分析笔者所在医院收集的30例(30眼)急性闭角型青光眼伴有白内障患者,施行白内障超声乳化及人工晶体植入术联合房角分离术,比较手术前后眼压、视力、前房角及周边前房变化。结果术前药物控制平均眼压为(19.22±4.68)mm Hg(1 mm Hg=0.133 k Pa),术后为(12.58±3.56)mm Hg,术前术后相比差异有统计学意义(P<0.05);术前术后视力相比有明显统计学意义(P<0.05);前房角及周边前房较术前明显加深。结论白内障超声乳化联合房角分离术后患者眼压明显降低,视力提高,前房角及周边前房明显加深,是治疗急性闭角型青光眼的有效方法。

Objective To observe the effect of phacoemulsification combined with goniosynechialysis in treatment of acute angle-closure glaucoma. Methods A retrospective analysis was taken on author＇s hospital＇s collection of 30 cases （30 eyes） of acute angle-closure glaucoma complicated with cataract,they were treated with phacoemulsifieation and IOL implantation,combined with goniosyehialysis;Before and after surgery,peripheral anterior chamber,intraocular pressure ,vision ,anterior chamber Angle were compared. Results Through preoperative medication control the average intraocular pressure was （19.22±4.68）mmHg,but after surgery （12.58±3.56）mmHg, thus the difference was statistically significant （P〈0.05）;Compared with preoperative one visual acuity had obvious statistical significance （P 〈0.05 ） ; And , anterior chamber angle and peripheral anterior chamber was obviously deepened than before surgery. Conclusion Phacoemulsification combined with goniosynechialysis could reduces IOP significantly,improve visusal acuity and open the anterior chamber angle. It＇s an effective method in the treatment of acute angle-closure glaucoma.