超声乳化白内障吸除联合房角分离治疗急性闭角型青光眼合并白内障的疗效

发布时间：2018-05-11 17:44

本文选题：超声乳化白内障吸除术 + 房角分离术　；参考：《福建医科大学》2012年硕士论文

【摘要】：目的：分析超声乳化白内障吸除联合人工晶状体植入和房角分离治疗原发性急性闭角型青光眼合并白内障的临床效果和安全性。对象与方法：回顾性分析研究2008年9月到2011年12月在我院住院且资料完整的原发性急性闭角型青光眼合并白内障患者47例（54眼）；其中男性13例（15眼），女性34例（39眼）。年龄56～83岁，平均（68.2±6.9）岁。入院后在降眼压后行超声乳化白内障吸除联合人工晶状体植入和房角分离，，分析术前术后视力、眼压、中央前房深度、周边前房深度、房角开放情况及并发症。随访时间为1～12个月，平均（7.23±3.56）个月。结果：54眼术后最佳矫正视力较术前明显提高，差异有统计学意义（Z=6.244，P＜0.05）；术前经降眼压治疗后平均眼压为(18.94±5.10)mmHg，术后为(11.81±3.22)mmHg，术后眼压明显下降，差异有统计学意义（t=11.896，P＜0.05）；术前平均中央前房深度为（1.83±0.29）mm，术后为（3.53±0.43）mm，术后中央前房深度明显加深，差异有统计学意义（t=27.750，P＜0.05）；术后周边前房深度较术前明显加深，差异有统计学意义（Z=9.703，P＜0.05）；术后房角均较术前有不同程度的开放，差异有统计学意义（Z=9.187，P＜0.05）。结论：超声乳化白内障吸除联合人工晶状体植入和房角分离对原发性急性闭角型青光眼合并白内障患者的视力、眼压、前房深度、房角等方面都产生积极有益的影响，临床效果好且安全。
[Abstract]:Objective: to evaluate the efficacy and safety of phacoemulsification combined with intraocular lens implantation and angle separation in the treatment of primary acute angle-closure glaucoma with cataract. Participants and methods: from September 2008 to December 2011, 47 patients with primary acute angle-closure glaucoma complicated with cataract were studied retrospectively, including 13 males (15 eyes) and 34 females (39 eyes). The average age was 68.2 卤6.9 years. After admission, phacoemulsification, intraocular lens implantation and angle separation were performed to analyze the preoperative and postoperative visual acuity, intraocular pressure, the depth of central anterior chamber, the depth of peripheral anterior chamber, the opening of anterior chamber angle and complications. The follow-up time was 1 ~ 12 months (mean 7.23 卤3.56) months. Results the best corrected visual acuity (BCVA) of 54 eyes after operation was significantly higher than that before operation (P < 0.05), the mean IOP was 18.94 卤5.10 mm Hg before operation and 11.81 卤3.22 mm Hg after operation, and the IOP decreased significantly after operation. The difference was statistically significant (P < 0.05), the mean anterior chamber depth was 1.83 卤0.29 mm before operation, 3.53 卤0.43 mm after operation, and the depth of central anterior chamber was significantly deeper after operation (P < 0.05), and the depth of peripheral anterior chamber was significantly deeper than that before operation (P < 0.05). The difference was statistically significant (P < 0.05), and the angle of atrium after operation was more or less open than that before operation (P < 0.05). Conclusion: phacoemulsification combined with intraocular lens implantation and angle separation have positive and beneficial effects on visual acuity, intraocular pressure, anterior chamber depth and angle of atrium in patients with primary acute angle-closure glaucoma complicated with cataract. The clinical effect is good and safe.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R779.6

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