超声乳化联合巩膜咬切术疗效观察

发布时间：2018-09-01 20:28

【摘要】：本文通过分析超声乳化白内障摘除联合人工晶体植入术联合巩膜咬切术治疗急性闭角型青光眼合并白内障，观察术后角膜散光、裸眼视力、矫正视力、眼压变化。 本研究对象为吉林大学第二医院眼科医院白内障科急性闭角型青光眼合并白内障的患者28例30眼。记录患者术前、术后7天、1个月、3个月术眼散光（Astigmatism）、裸眼视力、矫正视力（Corrected visual acuity）、眼压（Intraocular pressure）变化等情况。 通过术后随访，，术后7天检测术眼散光度数增大，术后1个月拆除巩膜切口缝线后散光度明显降低，术后3个月散光趋于术前散光水平；术后裸眼视力及矫正视力较术前提高，术后1个月拆除巩膜切口缝线后裸眼视力及矫正视力明显提高，术后3个月裸眼视力及矫正视力基本稳定，可达最佳；患者术后7天、1个月、3个月眼压控制稳定。 本研究结果表明，超声乳化白内障摘除联合人工晶体植入术联合巩膜咬切术是治疗急性闭角型青光眼合并白内障的有效方法。
[Abstract]:The changes of corneal astigmatism, uncorrected visual acuity, corrected visual acuity and intraocular pressure were observed after phacoemulsification and intraocular lens implantation combined with scleral bite in the treatment of acute angle-closure glaucoma with cataract. The subjects were 28 cases (30 eyes) of acute angle closure glaucoma complicated with cataract in Department of Cataract, second Hospital of Jilin University. The uncorrected visual acuity (Astigmatism),) and corrected visual acuity (Corrected visual acuity),) intraocular pressure (Intraocular pressure) of astigmatism were recorded 7 days, 1 month and 3 months before operation and 7 days, 1 month and 3 months after operation respectively. After 7 days follow-up, the astigmatism of the eyes increased, the astigmatism decreased significantly after the scleral incision seams were removed, the astigmatism tended to the preoperative astigmatism level 3 months after operation, the uncorrected visual acuity and corrected visual acuity were improved. The uncorrected visual acuity and corrected visual acuity were improved 1 month after the scleral incision was removed, the uncorrected visual acuity and corrected visual acuity were stable at 3 months after operation, and the intraocular pressure was stable at 7 days, 1 month and 3 months after operation. The results showed that phacoemulsification combined with intraocular lens implantation combined with scleral bite was an effective method for the treatment of acute angle-closure glaucoma with cataract.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R779.6

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