瞳孔成形术治疗老年急性闭角型青光眼的临床效果

发布时间：2018-03-09 12:05

本文选题：急性闭角型青光眼　切入点：瞳孔成形术　出处：《中国老年学杂志》2017年12期 　论文类型：期刊论文

【摘要】：目的探讨急性闭角型青光眼患者在治疗过程中选用瞳孔成形术的价值和意义。方法按照随机数字表的方法选取80例老年急性闭角型青光眼患者并通过抽签的方法将其分为试验组和对照组,所有患者在治疗方案上均选取小梁切除术+白内障摘除术+人工晶体植入术治疗,而试验组在上述方案的基础上同时给予瞳孔成形术治疗,比较不同治疗方案对患者视力恢复、瞳孔直径、眼压的影响以及并发症的发生率。结果经过研究发现,试验组和对照组均获得一定治疗效果,但试验组患者视力恢复更显著且眼压和瞳孔直径均明显低于对照组(P0.05);对照组治疗后并发症的发生率和试验组相比显著升高,且两组患者比较差异具有统计学意义(P0.05)。结论急性闭角型青光眼患者在治疗方案上选取小梁切除术+白内障摘除术+人工晶体植入术+瞳孔成形术治疗,疗效显著,能够明显促进患者视力的恢复,减少各种并发症的发生,值得临床推广应用。
[Abstract]:Objective to investigate the value and significance of pupillary angioplasty in patients with acute angle closure glaucoma. Methods 80 elderly patients with acute angle closure glaucoma were selected according to random digital table and drawn lots. They were divided into two groups: experimental group and control group. All patients were treated with trabeculectomy cataract extraction and intraocular lens implantation. The diameter of pupil, the effect of intraocular pressure and the incidence of complications. However, the recovery of visual acuity and intraocular pressure and pupil diameter in the trial group were significantly lower than those in the control group (P 0.05), and the incidence of complications after treatment in the control group was significantly higher than that in the trial group. The difference between the two groups was statistically significant (P 0.05). Conclusion trabeculectomy for cataract extraction and intraocular lens implantation in patients with acute angle-closure glaucoma is effective in the treatment of pupillary angioplasty. It can obviously promote the recovery of visual acuity and reduce the occurrence of various complications, so it is worth popularizing in clinic.
【作者单位】：上海市浦东新区周浦医院眼科;
【分类号】：R779.6

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