25G玻璃体切割手术联合超声乳化治疗伴浅前房的白内障疗效观察

发布时间：2018-06-01 03:57

本文选题：G玻璃体切割 + 超声乳化　；参考：《山东医药》2017年46期

【摘要】：目的探讨25G玻璃体切割联合白内障超声乳化手术治疗白内障伴有浅前房患者的疗效。方法选取行白内障手术的伴有浅前房的白内障患者86例100眼,随机分为联合手术组42例50眼、超声乳化组44例50眼。联合手术组行25G玻璃体切割联合白内障超声乳化手术;超声乳化组单纯行白内障超声乳化手术,不进行玻璃体切割。术后随访3个月,比较术前及术后l d、l周及3个月时的最佳矫正视力、眼压,中央角膜厚度;比较术前及术后3个月前房深度及角膜内皮细胞丢失率、术中及术后并发症。结果术后1 d及1周时,联合手术组最佳矫正视力均优于超声乳化组,中央角膜厚度变化小于超声乳化组(P均0.05)。术后3个月时,联合手术组前房深度大于超声乳化组(P0.05),角膜内皮细胞丢失率低于超声乳化组(P0.05)。两组术后均未出现严重并发症。结论 25G玻璃体切割联合白内障超声乳化手术治疗伴有浅前房的白内障患者效果较好,可加深前房,降低超声乳化手术难度。
[Abstract]:Objective to evaluate the efficacy of 25 G vitrectomy combined with phacoemulsification in the treatment of cataract with shallow anterior chamber. Methods 86 cases (100 eyes) of cataract with shallow anterior chamber were randomly divided into combined operation group (42 cases, 50 eyes) and phacoemulsification group (44 cases, 50 eyes). The combined operation group underwent 25 G vitrectomy combined with phacoemulsification, while the phacoemulsification group only performed phacoemulsification without vitrectomy. The best corrected visual acuity (BCVA), intraocular pressure (IOP), central corneal thickness (CCT), the depth of anterior chamber and the rate of corneal endothelial cell loss, intraoperative and postoperative complications were compared before and 3 months after operation. Results at 1 day and 1 week after operation, the best corrected visual acuity of combined operation group was better than that of phacoemulsification group, and the change of central corneal thickness was less than that of phacoemulsification group (P < 0.05). At 3 months after operation, the anterior chamber depth in the combined operation group was greater than that in the phacoemulsification group (P 0.05), and the rate of corneal endothelial cell loss was lower than that in the phacoemulsification group (P 0.05). There were no serious complications in both groups. Conclusion 25 G vitrectomy combined with phacoemulsification is effective in the treatment of cataract with shallow anterior chamber, which can deepen the anterior chamber and reduce the difficulty of phacoemulsification.
【作者单位】：潍坊眼科医院;
【分类号】：R779.6

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