超声乳化人工晶体植入术治疗原发性闭角型青光眼合并白内障的临床观察

Clinical Research of Phacoemulsification in the Treatment of Primary Angle-closure Glaucoma

目的探讨超声乳化人工晶体植入术在原发性闭角型青光眼合并白内障治疗中的有效性和安全性。方法回顾性分析2016年6月至2018年6月内蒙古自治区人民医院收治的52例(52眼)原发性闭角型青光眼合并白内障患者临床资料,根据术前不同情况分为两组,A组32例(32眼)实施白内障超声乳化人工晶体植入术;B组20例(20眼)实施白内障超声乳化人工晶体植入术联合小梁切除术。分别统计两组患者术前及术后1个月及3个月的视力、眼压、中央前房深度和手术并发症情况。结果两组患者术后1个月及术后3个月最佳矫正视力、眼压及中央前房深度较术前显著改善,差异均有统计学意义(P<0.05)。A组患者术后出现2例角膜水肿,B组患者术后出现3例眼压升高。结论原发性闭角型青光眼合并白内障患者根据房角粘连情况采用超声乳化人工晶体植入术,或同时联合小梁手术,可显著提高患者术后视力,并有效降低眼压,减少术后并发症,能获得可靠的临床疗效。

Objective To evaluate the clinical efficacy of phacoemulsification for the treatment of primary angle-closure glaucoma.Methods The data of 52 eyes of 52 cases with primary angle-closure glaucoma and cataract from June 2016 to June 2018 were analyzed retrospectively.According to different cases,they were divided into two groups.Group A,32 eyes of 32 cases,underwent phacoemulsification,group B,20 eyes of 20 cases,were treated with phacoemulsification combined with trabeculectomy.The best corrected visual acuity,the intraocular pressure(IOP),The anterior chamber depth(ACD)before and after surgery and complications were recorded.Results The best corrected visual acuity after surgery was significantly improved in both groups(P<0.05).The intraocular pressure(IOP)decreased after surgery in the two groups(P<0.05),The anterior chamber depth(ACD)markedly increased after surgery(P<0.05).The corneal edema occurred in 2 cases in group A.The intraocular hypertension occurred in 3 cases in group B.Conclusion Phacoemulsification is safe and effective for patients with primary angle-closure glaucoma and cataract,not only can IOP and improve the best corrected visual acuity,but also decrease the occurrence of comlications.