合并白内障的原发性闭角型青光眼术后前房深度及眼压的变化

发布时间：2018-10-29 11:20

【摘要】：目的探讨合并白内障的原发性闭角型青光眼术后前房深度及眼压的变化。方法选择2011年8月至2014年9月湖北医药学院附属东风医院收治的合并白内障原发性闭角型青光眼患者120例为研究对象,根据随机数字表法分为观察组与对照组,各60例。对照组选择白内障囊外摘除联合房角分离术,观察组选择超声乳化白内障吸出术联合房角粘连分离术。观察两组视力、眼压、前房深度变化情况,对并发症发生情况进行记录。结果术后观察组视力显著高于对照组,眼压显著低于对照组[(11±5)mm Hg(1 mm Hg=0.133 k Pa)比(15±6)mm Hg],前房深度显著高于对照组[(3.59±0.39)mm比(2.78±0.44)mm],差异均有统计学意义(P0.01)。两组术后均无视网膜脱离、继发青光眼等严重并发症发生,观察组术后总并发症发生率低于对照组[3.3%(2/60)比16.7%(10/60)],差异有统计学意义(P0.05)。结论与传统手术相比,超声乳化白内障吸出术联合房角粘连分离术治疗合并白内障原发性闭角型青光眼能有效降低眼压与提高前房深度,从而提高预后视力,安全性佳,值得推广应用。
[Abstract]:Objective to investigate the changes of anterior chamber depth and intraocular pressure after primary angle-closure glaucoma with cataract. Methods from August 2011 to September 2014, 120 cases of primary angle-closure glaucoma complicated with cataract were selected from Dongfeng Hospital affiliated to Hubei Medical College. According to the method of random number table, 120 cases were divided into two groups: the observation group and the control group, each with 60 cases. In the control group, extracapsular cataract extraction combined with atrial angle separation was performed, and phacoemulsification cataract extraction combined with atrial angle adhesion separation was used in the observation group. Visual acuity, intraocular pressure and anterior chamber depth were observed and complications were recorded. Results the visual acuity and intraocular pressure in the observation group were significantly higher than those in the control group [(11 卤5) mm Hg (1 mm Hg=0.133 k Pa) vs 15 卤6) mm Hg], respectively]. The depth of anterior chamber was significantly higher than that of control group [(3.59 卤0.39) mm vs (2.78 卤0.44) mm] (P0.01). There were no retinal detachment, secondary glaucoma and other serious complications in both groups. The total incidence of postoperative complications in the observation group was lower than that in the control group [3.3% (2 / 60) vs 16.7% (10 / 60)]. The difference was statistically significant (P0.05). Conclusion compared with traditional surgery, phacoemulsification combined with angle adhesion separation can effectively reduce intraocular pressure and improve anterior chamber depth in patients with primary angle closure glaucoma. It is worth popularizing and applying.
【作者单位】：湖北医药学院附属东风医院五官病区;广东省人民医院眼科;
【基金】：广东省医学科研基金立项课题(A2014043)
【分类号】：R779.6

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