超声乳化联合人工晶状体植入术治疗原发性房角关闭或原发性闭角型青光眼合并白内障的疗效观察
发布时间：2019-04-24 00:56
【摘要】：目的探讨超声乳化白内障吸出联合人工晶状体植入术治疗原发性房角关闭(primary angle-closure,PAC)或原发性闭角型青光眼(primary angle-closure glaucoma,PACG)合并白内障的疗效。方法回顾性分析2011年3月至2012年12月于我院住院治疗的PAC或PACG合并白内障患者60例(60眼)的临床资料,分为PAC组(28例)和PACG组(32例),所有患者均采用超声乳化人工晶状体植入术,术前、术后1 d、1个月、6个月采用国际标准视力表检查患者最佳矫正视力,采用光学相干断层扫描观察患者前房角度(anterior chamber angle,ACA),并采用非接触式眼压计测量患者眼压,同时观察术后并发症发生情况。结果 PAC组和PACG组术前最佳矫正视力分别为0.31±0.21、0.32±0.19,术后6个月分别为0.57±0.28、0.58±0.26,与术前比较,两组患者术后最佳矫正视力均有较大程度的改善,差异均有统计学意义(均为P0.05);两组术后组内及组间不同时间点间最佳矫正视力相比,差异均无统计学意义(均为P0.05)。与术前比较,两组术后不同时间眼压均显著降低,差异均有统计学意义(均为P0.05);两组术后组内不同时间点间眼压比较,差异均无统计学意义(均为P0.05);PAC组术后不同时间点眼压均低于PACG组,但差异均无统计学意义(均为P0.05)。与术前相比,两组术后ACA均增宽,差异均有统计学意义(均为P0.05);两组术后组内及组间不同时间点间ACA相比,差异均无统计学意义(均为P0.05)。结论超声乳化白内障吸出联合人工晶状体植入术治疗PAC或PACG合并白内障患者短期内疗效显著,但远期疗效仍有待进一步观察。
[Abstract]:Objective to evaluate the efficacy of phacoemulsification and intraocular lens implantation in the treatment of primary angle closure (primary angle-closure,PAC) or primary angle closure glaucoma (primary angle-closure glaucoma,PACG) with cataract. Methods the clinical data of 60 patients (60 eyes) with PAC or PACG complicated with cataract who were hospitalized in our hospital from March 2011 to December 2012 were retrospectively analyzed. They were divided into two groups: PAC group (28 cases) and PACG group (32 cases). All patients were treated with phacoemulsification and IOL implantation. The best corrected visual acuity was measured by international standard visual acuity scale 1 day, 1 month and 6 months after operation. The anterior chamber angle (anterior chamber angle,ACA) of the patients was observed by optical coherence tomography (Oct), and the intraocular pressure (IOP) was measured by non-contact tonometer. The postoperative complications were observed at the same time. Results the best corrected visual acuity was 0.31 卤0.21, 0.32 卤0.19 in PAC group and 0.32 卤0.19 in PACG group, and 0.57 卤0.28 and 0.58 卤0.26 in 6 months after operation, respectively. The difference was statistically significant (all P0.05); There was no significant difference in the best corrected visual acuity between the two groups at different time points (P 0.05). Compared with pre-operation, IOP decreased significantly in two groups at different time after operation (all P 0.05); there was no significant difference in IOP between two groups at different time points after operation (all P 0.05). IOP in PAC group was lower than that in PACG group at different time points after operation, but there was no significant difference (P 0.05). Compared with pre-operation, the postoperative ACA of the two groups increased significantly (P 0.05), and there was no significant difference in ACA between the two groups at different time points (P 0.05). Conclusion Phacoemulsification cataract extraction combined with intraocular lens implantation is effective in the treatment of PAC or PACG with cataract in a short time, but the long-term effect remains to be further observed.
【作者单位】： 湛江市第二人民医院眼科;
【分类号】：R779.6
本文编号：2463966
[Abstract]:Objective to evaluate the efficacy of phacoemulsification and intraocular lens implantation in the treatment of primary angle closure (primary angle-closure,PAC) or primary angle closure glaucoma (primary angle-closure glaucoma,PACG) with cataract. Methods the clinical data of 60 patients (60 eyes) with PAC or PACG complicated with cataract who were hospitalized in our hospital from March 2011 to December 2012 were retrospectively analyzed. They were divided into two groups: PAC group (28 cases) and PACG group (32 cases). All patients were treated with phacoemulsification and IOL implantation. The best corrected visual acuity was measured by international standard visual acuity scale 1 day, 1 month and 6 months after operation. The anterior chamber angle (anterior chamber angle,ACA) of the patients was observed by optical coherence tomography (Oct), and the intraocular pressure (IOP) was measured by non-contact tonometer. The postoperative complications were observed at the same time. Results the best corrected visual acuity was 0.31 卤0.21, 0.32 卤0.19 in PAC group and 0.32 卤0.19 in PACG group, and 0.57 卤0.28 and 0.58 卤0.26 in 6 months after operation, respectively. The difference was statistically significant (all P0.05); There was no significant difference in the best corrected visual acuity between the two groups at different time points (P 0.05). Compared with pre-operation, IOP decreased significantly in two groups at different time after operation (all P 0.05); there was no significant difference in IOP between two groups at different time points after operation (all P 0.05). IOP in PAC group was lower than that in PACG group at different time points after operation, but there was no significant difference (P 0.05). Compared with pre-operation, the postoperative ACA of the two groups increased significantly (P 0.05), and there was no significant difference in ACA between the two groups at different time points (P 0.05). Conclusion Phacoemulsification cataract extraction combined with intraocular lens implantation is effective in the treatment of PAC or PACG with cataract in a short time, but the long-term effect remains to be further observed.
【作者单位】： 湛江市第二人民医院眼科;
【分类号】：R779.6
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