超声乳化人工晶状体植入术联合房角分离术治疗闭角型青光眼合并白内障的临床疗效分析

目的:探讨闭合型青光眼合并白内障应用超声乳化人工晶状体植入术与房角分离术联合治疗的临床效果。方法:选择闭角型青光眼合并白内障患者80例,均为我院眼科2015年3月至2017年3月收治,随机分组,就超声乳化人工晶状体植入术与房角分离术联合治疗(观察组,n=40)与超声乳化人工晶状体植入术与小梁切除术联合治疗(对照组,n=40)效果展开对比。结果:两组视力水平和中央前房深度术后均有程度不等的改善,观察组改善幅度较对照组更为显著(P<0.05)。两组治疗前平均眼压无差异(P>0.05),疗后第1d、第7d,观察组眼压水平高于对照组(P<0.05),术后6个月组间对比差异不明显(P>0.05)。观察组并发症率低于对照组(P<0.05)。结论:针对临床收治的青光眼合并白内镜患者,应用超声乳化人工晶状体植入术与房角分离术联合方案治疗,可显著提高视力水平,且具较高安全性。

Objective: To investigate the clinical effect of phacoemulsification and intraocular lens implantation in the treatment of closed glaucoma with cataract. Methods: angle closure glaucoma and cataract patients 80 cases, were in our hospital from March 2015 to March 2017, randomly divided on phacoemulsification and intraocular lens implantation combined with goniosynechialysis treatment(observation group, n = 40) with phacoemulsification and intraocular lens implantation and trabeculectomy(combined treatment the control group, n = 40) contrast effect. Results: the visual acuity of the two groups and the central anterior chamber depth were improved, and the improvement of the observation group was more significant than that of the control group(P<0.05). There was no significant difference between the two groups before treatment(P>0.05), 1 D and 7 d after treatment, the IOP of the observation group was higher than that of the control group(P<0.05), and there was no significant difference between the two groups(P>0.05) after the operation(). The complication rate of the observation group was lower than that of the control group(P<0.05). Conclusion: the clinical application of phacoemulsification combined with intraocular lens implantation in patients with glaucoma combined with endoscopic surgery can significantly improve visual acuity, and has high safety.