超声乳化联合房角分离术对原发性闭角型青光眼患者眼压及视功能的影响

Influence of phacoemulsification combined with goniosynechialysis on intraocular pressure and visual function in patients with primary angle-closure glaucoma

目的观察超声乳化联合房角分离术对原发性闭角型青光眼患者眼压及视功能的影响。方法选取2016年6月-2017年1月我院治疗的86例(86眼)原发性闭角型青光眼合并白内障患者作为研究对象,运用随机数表法将入选者分为对照组与观察组,均43例(43眼)。观察组实施超声乳化联合房角分离术治疗,对照组应用超声乳化术治疗。观察两组治疗前、后眼压、视功能及并发症发生情况。结果治疗前两组眼压、视力对比,差异无统计学意义(P>0.05);治疗后观察组眼压低于对照组,视力优于对照组,差异有统计学意义(P<0.05);术后观察组相关并发症发生率显著少于对照组,差异有统计学意义(P<0.05)。结论超声乳化与房角分离术联合应用有助于控制原发性闭角型青光眼患者眼压,提升患者视功能,降低术后并发症,加快患者康复进程。

Objective To observe the influence of phacoemulsification combined with goniosynechialysis on intraocular pressure and visual function in patients with primary angle-closure glaucoma （PACG）. Methods 86 cases （86 eyes） of PACG patients complicated by cataract who treated in our hospital from June 2016 to January 2017 were selected as the research object. The selected patients were divided into control group and observation group according to random number table, with 43 cases （43 eyes） in each group. The observation group was given phacoemulsification and goniosynechialysis, while the control group was treated with phacoemulsification. The intraocular pressure, visual function, complications before and after treatment in two groups were Observed. Results Before treatment, the intraocular pressure and vision were compared between the two groups, and there was no statistical difference （P〉0.05）; After treatment, the intraocular pressure in observation group was lower than that in control group, while the vision of observation group was better than that of control group, with statistical difference （P〈0.05）; The incidence of postoperative complications in observation group was less than that in control group, with statistical difference （P〈0.05）. Conclusion Phacoemulsification combined with goniosynechialysis for PACG patients can control intraocular pressure, increase visual function, reduce postoperative complications and accelerate patients＇ recovery.