不同手术方式治疗膨胀期白内障继发青光眼的临床观察

Clinical Observation of Different Surgical Treatments for Glaucoma Secondary to Intumescent Cataract

目的探讨不同手术方式治疗膨胀期白内障继发青光眼的临床效果。方法接受不同方式治疗的60例膨胀期白内障继发青光眼患者共60眼,随机分为三组,各20例患者,分别进行白内障超声乳化术加人工晶状体植入手术、白内障超声乳化术联合小梁切除术以及白内障超声乳化术联合人工晶状体植入加小梁切除术;比较三组患者的术后3个月矫正视力,治疗前后的前房深度变化情况以及并发症发生率。结果三组患者的术后矫正视力情况以及治疗后并发症发生情况比较差异不具有统计学意义(P>0.05);此外,三组患者治疗后的前房深度均高于治疗前,两比较差异有统计学意义(P<0.05)。结论综上所述,对于治疗膨胀期白内障继发青光眼患者需要根据患者自身的房角开放程度以及眼压情况不同来选择不同的手术方式,在做到简单有效的手术前提下,提高患者治疗效果,防止手术不成功造成的多次手术。

Objective To investigate the clinical effect of different surgical methods in treatment of secondary glauco- ma due to intumescent cataract. Methods In our hospital in different ways of treatment of 60 cases of secondary glauco- ma due to intumescent cataract patients 60 eyes were randomly divided into three groups, each of 20 patients were per-formed phacoemulsification and IOL implantation, phacoemulsification combined trabeculectomy and phacoemulsification combined with intraocular lens implantation and trabeculectomy ; corrected visual acuity of patients 3 months after surgery between the three groups, the incidence of anterior chamber depth changes before and after treatment and complications. Results The visual acuity and complications difference correction of three groups of patients after operation with statisti- cal significance （P 〉 0. 05） ; in addition, the depth of anterior chamber after treatment in three groups were higher than those before treatment, there are significant differences （ two P 〈 0.05 ）. Conclusions In summary, for treatment of intumescent cataract and secondary glaucoma patients we need according to the patient＇s own real angle of openness and intraocular pressure （IOP） of different to choose different ways of operation, do simple and effective surgery under the premise, improve treatment effect in patients with, prevent unsuccessful surgery caused by repeated operation.