超声乳化与手术治疗白内障合并闭角型青光眼

Phacoemulsification and Surgery Treatment of Cataract Combined with Angle Closure Glaucoma

目的:探析超声乳化与手术治疗白内障合并闭角型青光眼的临床疗效。方法:选取2018年10月至2020年2月在东莞市虎门中医院接受治疗的62例白内障合并闭角型青光眼患者为研究对象,采用数字随机表法分为对照组和观察组,各31例(31眼)。对照组患者接受传统手术治疗,观察组患者采用超声乳化联合手术治疗,对两组的治疗效果进行比较。结果:观察组患者的治疗总有效率显著高于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者的眼压均较治疗前降低,且观察组治疗后的眼压低于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者的视力水平均较治疗前明显改善,且观察组治疗后的视力水平优于对照组,差异具有统计学意义(P<0.05);治疗后,两组患者的前房深度均较治疗前明显增大,并且观察组患者治疗后的前房深度显著大于对照组,差异具有统计学意义(P<0.05)。结论:在白内障合并闭角型青光眼的临床治疗上,超声乳化联合手术的效果更为理想,可降低患者的眼压,增加前房深度,同时可改善患者的视力水平。

Objective To explore the clinical efficacy of phacoemulsification and surgery on cataract combined with angle-closure glaucoma.Methods 62 patients with cataract and angle closure glaucoma treated in Dongguan Humen Hospital of Traditional Chinese Medicine from October 2018 to February 2020 were selected as study subjects by digital randomized table,including 31 cases each of the control group and observation group (31 eyes).The control group was treated with traditional surgery,and the observation group used phacoemulsification to compare the treatment effect of the two groups.Results The total treatment efficiency of the patients in the observation group was significantly higher than that in the control group,the difference was statistical significant (P < 0.05);After treatment,intraocular pressure in both groups were lower than those before treatment,and intraocular pressure in the observation group was lower than that in the control group,the differences were statistically significant(P < 0.05);After treatment,the visual acuity of the two groups were significantly improved compared with those before treatment,and the visual acuity of the observation group was better than that of the control group,the differences were statistically significant(P < 0.05);After treatment,the anterior chamber depth in both groups were significantly increased compared with those before treatment,and the anterior chamber depth in the observation group was significantly greater than that in the control group,with statistical significances (P < 0.05).Conclusion In the clinical treatment of cataract with angle-closure glaucoma,phacoemulsification combined with surgery is more ideal,which can reduce the intraocular pressure of patients,increase the depth of anterior chamber,and improve the visual acuity level of patients.