关注超声乳化晶状体吸除联合房角分离术中存在的问题

Focusing on issues about phacoemulsification lens extraction combined with goniosynechialysis

房角关闭是原发性闭角型青光眼的基本病理过程。与滤过性抗青光眼手术不同,房角分离术是针对原发性闭角型青光眼病因的治疗方法,可重建生理性的房水流出通道。近10余年,超声乳化晶状体吸除后房型人工晶状体植入术(超声乳化手术)联合房角分离术(联合手术)治疗原发性闭角型青光眼成为临床研究和探讨的热点。本文从超声乳化手术与房角分离术的关系,联合手术的有效性和影响因素,以及如何避免联合手术后房角再次粘连3个方面,指出联合手术需要加以关注的问题,以期为临床更好开展房角分离术提供参考和指导。

Angle closure is a basic pathological process in primary angle-closure glaucoma.Unlike filtration anti-glaucoma surgery,goniosynechialysis is a treatment for the cause of primary angle-closure glaucoma by reconstructing the physiological aqueous outflow pathway.In the past 10 years,phacoemulsification lens extraction with posterior chamber intraocular lens implantation in combination with goniosynechialysis for the treatment of primary angle-closure glaucoma has become a hot topic of clinical research and discussion.This article points out the issues that need to be paid attention to in the clinical practice of the combined surgery,including the relationship between phacoemulsification surgery and goniosynechialysis,the effectiveness and influencing factors of the combined surgery,and how to avoid the postoperative re-adhesion of the angle,in order to provide reference and guidance for better goniosynechialysis.