超声乳化联合房角分离术治疗原发性闭角型青光眼合并白内障的临床效果

Clinical effect of phacoemulsification combined with angle-of-atrial separation in the treatment of primary angle-closure glaucoma with cataract

目的:探讨超声乳化联合房角分离术治疗原发性闭角型青光眼合并白内障的临床效果。方法:抽取2014年9月至2019年9月忻州市第二人民医院收治的原发性闭角型青光眼合并白内障患者120例,依据房角分离处理方式分为两组,每组60例。A组给予超声乳化联合房角分离术A方式治疗,B组给予超声乳化联合房角分离术B方式治疗,比较两组患者术后眼科相关参数、房角粘连(PAS)、术后并发症与远期随访情况。结果:A组术后6个月最佳矫正视力、眼压、PAS低于B组(P<0.05),中央前房深度(ACD)及远期随访躯体功能、社会功能、总体健康评分高于B组(P<0.05)。A组未见PAS,患眼均不同程度开放;B组部分患眼开放不充分,仍存在PAS。A组术后并发症发生率为5.00%(3/60),低于B组的16.67%(10/60),差异有统计学意义(χ2=4.227,P<0.05)。结论:超声乳化联合房角分离术治疗原发性闭角型青光眼合并白内障的临床效果显著,且A处理方式的临床效果更佳,安全性高。

Objective To investigate the clinical effect of phacoemulsification combined with angle-of-atrial separation in the treatment of primary angle-closure glaucoma with cataract.Methods A total of 120 patients with primary angle-closure glaucoma combined with cataract who were selected in Xinzhou Second People’s Hospital from September 2014 to September 2019 were divided into two groups.The patients were divided into two groups according to the angle separation method,with 60 cases in each group.Patients in group A were treated by phacoemulsification combined with angle separation A,patients in the group B were treated by phacoemulsification combined with angle separation operation B,and the ophthalmic parameters,peripheral anterior synechiae(PAS)status,postoperative complications,and long-term follow-up were compared between the two groups after operation.Results The best corrected visual acuity,intraocular pressure,and PAS levels in group A at 6 months after surgery were lower than those in group B(P<0.05),the anterior chamber depth(ACD),physical function,social function,and overall health score at the end of follow-up were higher than those in group B(P<0.05).The patients in group A had no PAS,and the affected eyes were open to varying degrees.Part of group B was not fully open and PAS was still present.The postoperative complication rate in patients in group A was 5.00%(3/60),which was lower than 16.67%(10/60)in group B,the difference was significant(χ2=4.227,P<0.05).Conclusions Phacoemulsification combined with angle-of-atrial separation is effective on primary angle-closure glaucoma combined with cataract.The treatment A has better clinical effect,higher safety.