原发性闭角型青光眼合并白内障手术方式的系统评价

发布时间：2018-09-04 17:05

【摘要】：目的对原发性闭角型青光眼合并白内障手术方式进行循证医学系统评价,为手术方式选择提供循证医学证据。方法按照循证医学系统评价要求,检索PubMed、EMBASE、Cochrane Library及CNKI和CBM发表的相关中、英文文献(2005.01~2011.07)。观察指标包括治疗前后视力、眼压、眼压控制成功率、视野损害进展、RNFL、房角粘连变化、并发症等。结果共10篇英文和13篇中文文献入选。其中Ⅰ~Ⅱ级证据11篇,Ⅲ级证据7篇,Ⅳ级证据5篇,涉及手术方式包括:LPI、SPI、ECCE、Phaco、Phaco-GSL、Phaco+SPI、PhacoTrab+IOL及小梁切除术。结论循证医学系统评价证实超乳手术可作为PACG合并白内障手术方式。手术适应证方面临床需要进一步大样本、多中心RCT研究,建议研究中纳入有关视神经损害及长期降眼压效果的观察指标。
[Abstract]:Objective to evaluate the Evidence-Based Medicine (EBM) system for primary angle-closure glaucoma with cataract. Methods according to the requirements of Evidence-based Medicine (EBM) system evaluation, we searched the Chinese and English literature published by PubMed,EMBASE,Cochrane Library, CNKI and CBM (2005.01 / 2011.07). The visual acuity, the success rate of intraocular pressure control, the progression of visual field damage and RNFL, the changes of atrial angle adhesion, complications and so on were observed before and after treatment. Results A total of 10 English and 13 Chinese articles were selected. Among them, 11 were of grade 鈪，

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