超声乳化联合人工晶体植入术对急性闭角型青光眼合并白内障的疗效

发布时间：2018-06-22 02:16

本文选题：急性闭角型青光眼 + 白内障　；参考：《中国老年学杂志》2014年02期

【摘要】：目的评价伴有白内障的急性闭角型青光眼应用超声乳化白内障摘除联合人工晶体植入术的疗效。方法原发性急性闭角型青光眼合并白内障应用超声乳化白内障吸除联合后房型折叠式人工晶体植入的患者22例30眼,其中临床前期16眼,急性发作期14眼。随访3-12个月。对治疗效果进行分析。结果与术前相比术后矫正视力明显提高(P0.01);术后眼压较术前下降(P0.01);临床前期及发作期病人术后中央前房深度(ACD)与术前相比加深(P0.01);术后房角与术前相比开放范围增大(P0.01)。结论采用超声乳化白内障摘除联合人工晶状体植入术治疗急性闭角型青光眼,对开放房角、加深前房、解除瞳孔阻滞、控制眼压、有效提高视力有一定作用。
[Abstract]:Objective to evaluate the effect of phacoemulsification cataract extraction combined with intraocular lens implantation in acute angle-closure glaucoma with cataract. Methods 22 patients (30 eyes) with primary acute angle-closure glaucoma complicated with cataract were treated with phacoemulsification and posterior chamber foldable intraocular lens implantation, including 16 eyes in preclinical stage and 14 eyes in acute phase. The follow-up was 3-12 months. The therapeutic effect was analyzed. Results the corrected visual acuity was improved significantly (P0.01), the intraocular pressure was decreased (P0.01), the depth of central anterior chamber (ACD) was deeper than that before operation (P0.01), and the open range of postoperative atrial angle (P0.01) was larger than that before operation (P0.01). Conclusion phacoemulsification cataract extraction combined with intraocular lens implantation in the treatment of acute angle-closure glaucoma has certain effect on opening angle deepening anterior chamber relieving pupil block controlling intraocular pressure and improving visual acuity.
【作者单位】：西安医学院医学技术系眼视光教研室;解放军第四五一医院眼科;
【基金】：兰州军区医药卫生科研基金课题(No.LXH-2008015)
【分类号】：R779.6

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