白内障超声乳化人工晶体植入联合房角分离术治疗闭角型青光眼合并白内障的临床效果观察

Clinical observation of phacoemulsification and intraocular lens implantation combined with angle separation in the treatment of angle-closure glaucoma with cataract

目的分析探讨白内障超声乳化人工晶体植入联合房角分离术治疗闭角型青光眼合并白内障的临床效果。方法随机从我院2013年2月～2017年8月期间收治的闭角型青光眼合并白内障患者中,抽取80例进行讨论,回顾分析其病历资料,依据其治疗方式分为两组,对照组40例接受白内障超声乳化人工晶体植入治疗,研究组40例接受白内障超声乳化人工晶体植入联合房角分离术治疗,观察两组患者治疗效果,并比较。结果比较两组患者最佳矫正视力状况,术前无明显差异(P>0.05),术后,0.1～0.5所占比率无明显差异(P>0.05)。研究组<0.1所占比率5%低于对照组15%,>0.5所占比率72.50%高于对照组52.50%(P<0.05)。比较两组患者眼压、前房角宽度、前房深度,术前无明显差异(P>0.05),术后,研究组眼压低于对照组,前房角宽度和前房深度高于对照组(P<0.05)。研究组并发症总发生率7.50%低于对照组10.00%,但差异无统计学意义(P>0.05)。结论建议临床治疗闭角型青光眼合并白内障疾病采用白内障超声乳化人工晶体植入联合房角分离术,高效且安全,可将其列入到首选方式中进行选择。

Objective To analyze the clinical effects of phacoemulsification and intraocular lens implantation in the treatment of angle-closure glaucoma with cataract. Methods A total of 80 patients with closed-angle glaucoma and cataract who were admitted in our hospital from February 2013 to August 2017 were enrolled. The medical records were retrospectively analyzed. The patients were divided into two groups according to their treatment. The patients underwent phacoemulsification and intraocular lens implantation. 40 patients in the study group underwent phacoemulsification and intraocular lens implantation combined with angle separation. The therapeutic effects of the two groups were observed and compared. Results There was no significant difference in best corrected visual acuity between the two groups before operation（P〉0.05）. There was no significant difference in the ratio of 0.1-0.5 after operation（P〉0.05）. The 5% of the study group 〈0.1 was lower than 15% of the control group, and the 72.50% of the study group〉0.5 was higher than 52.50% of the control group（P〈0.05）. There was no significant difference in the intraocular pressure, anterior chamber angle and anterior chamber depth between the two groups before operation（P〉0.05）. After operation, the intraocular pressure of the study group was lower than that of the control group, and the anterior chamber angle and anterior chamber depth in the study group were higher than those of the control group （P〈0.05）. The total incidence of complications in the study group was 7.50%, lower than that in the control group, but the difference was not statistically significant （P〉0.05）. Conclusion Phacoemulsification and intraocular lens implantation combined with angle separationis recommended to treat angle-closure glaucoma and cataract disease, which is efficient and safe, and can be includedin the preferred method for selection.