白内障超声乳化摘除联合人工晶状体植入术对青光眼合并白内障视力的影响

Effects of phacoemulsification combined with intraocular lens implantation for cataract patients with glaucoma

目的探讨白内障超声乳化摘除联合人工晶状体植入术对青光眼合并白内障患者的治疗效果及视力影响。方法选取2013年1月至2015年1月该院收治的青光眼合并白内障患者96例,按随机数字表法分为对照组48例和研究组48例。对照组采用白内障囊外摘除联合人工晶状体植入术治疗,研究组采用白内障超声乳化摘除联合人工晶状体植入术治疗,比较2组临床疗效及对视力的影响。结果 2组术前视力及散光度水平比较差异无统计学意义(P>0.05);研究组术后1周、术后3周视力优于对照组,研究组散光度低于对照组,差异均有统计学意义(P<0.05);2组术前眼压平均值比较差异无统计学意义(P>0.05);研究组术后3周眼压平均值低于对照组,差异有统计学意义(P<0.05);2组术前前房深度平均值比较差异无统计学意义(P>0.05);研究组术后3周前房深度平均值高于对照组,差异有统计学意义(P<0.05)。结论青光眼合并白内障患者采用白内障超声乳化摘除联合人工晶状体植入术治疗有助于改善患者视力,提高手术效果,值得推广应用。

Objective To evaluate the effect of phacoemulsification combined with intraocular lens implantation in patients with glaucoma and cataract.Methods 96 patients with glaucoma and cataract from January 2013-2015 year in January from the hospital were randomly divided into control group（48 cases）and observation group（48 cases）.The control group was treated with intraocular lens implantation combined with extracapsular cataract extraction.The study group was treated with phacoemulsification and intraocular lens implantation.The clinical effects and visual acuity were compared between the 2 groups.Results The 2 groups had no statistical significance before surgery,visual acuity and astigmatism comparison level difference（P〈0.05）;the observation group after 1 weeks,3 weeks after operation was better than the control group,but astigmatism was lower than that of the control group,the difference was statistically significant（P〈0.05）;no significant the 2 groups before surgery compared the mean level differences in eye flattening（P〈0.05）;the study group IOP after 3 week average level lower than the control group,the difference was statistically significant（P〈0.05）;the 2 groups preoperative anterior chamber depth mean no significant difference（P〈0.05）;3 weeks after treatment of anterior chamber depth research group on average,higher than that of the control group,the difference was statistically significant（P〈0.05）.Conclusion Phacoemulsification combined with intraocular lens implantation in patients with glaucoma and cataract is helpful to improve the visual acuity of patients,improve the operation effect,and is worthy of popularization and application.