非超声乳化小切口白内障摘除术联合巩膜咬切术疗效观察

发布时间：2018-08-06 14:35

【摘要】：目的：通过回顾性研究采用非超声乳化小切口白内障摘除术联合人工晶状体植入联合巩膜咬切术治疗成熟期年龄相关性白内障合并急性闭角型青光眼患者的临床资料，观察该术式的临床疗效。方法：选取2013年1月至2014年6月在我院白内障科行非超声乳化小切口白内障摘除术联合人工晶状体植入联合巩膜咬切术的患者35例（35眼），于患者术后1周，1个月，3个月进行随访观察，记录患者术后裸眼视力，最佳矫正视力（best correctedvisual acuity BCVA），，眼压控制情况。结果：随访期间，患者术后各时期的裸眼视力及最佳矫正视力均较术前明显提高，且以术后3个月时的裸眼视力及最佳矫正视力提高最为明显。与此同时，眼压也较术前有明显下降。患者术前眼压为（35.23±12.33）mmHg，术后1周、1个月、3个月的平均眼压分别为（16.91±3.20）mmH、（14.43±3.23）mmHg、（13.71±2.69）mmHg，术前术后对比差异均有统计学意义（均为P＜0.05）；术后各时间点眼压比较，术后1周与术后1个月、3个月差异有统计学意义（均为P＜0.05）。结论：对于成熟期年龄相关性白内障合并急性闭角型青光眼的患者，非超声乳化小切口白内障摘除术联合人工晶状体植入联合巩膜咬切术，是一种安全、有效的手术方式。
[Abstract]:Objective: to study the clinical data of non-phacoemulsification small incision cataract extraction combined with intraocular lens implantation and scleral bite in the treatment of mature age-related cataract with acute angle closure glaucoma. To observe the clinical effect of the operation. Methods: from January 2013 to June 2014, 35 cases (35 eyes) of cataract underwent non-phacoemulsification small incision cataract extraction, intraocular lens implantation and scleral bite in our hospital. , followed up for 3 months, Postoperative uncorrected visual acuity and best corrected visual acuity (best correctedvisual acuity BCVA),) were recorded. Results: during the follow-up period, the uncorrected visual acuity and the best corrected visual acuity of the patients were significantly improved than those of the patients before operation, and the uncorrected visual acuity and the best corrected visual acuity at 3 months after operation were the most obvious. At the same time, intraocular pressure was also significantly lower than preoperative. The preoperative IOP was (35.23 卤12.33) mmHg, and the mean IOP was (16.91 卤3.20) mmH, (, 14.43 卤3.23) mmHg, (13.71 卤2.69) mmHg at 1 week, 1 month and 3 months postoperatively. There was significant difference between 1 week after operation and 1 month after operation, 3 months after operation (all P < 0.05). Conclusion: Non-phacoemulsification small incision cataract extraction combined with intraocular lens implantation and scleral bite is a safe and effective method for mature age-related cataract patients with acute angle closure glaucoma.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R779.66

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