内窥镜直视下房角分离术联合超声乳化人工晶状体植入术治疗原发性闭角型青光眼

发布时间：2019-06-22 08:35

【摘要】：目的探讨原发性闭角型青光眼行内窥镜直视下房角分离术联合超声乳化摘出人工晶状体植入术的临床效果。方法选取我院2012年1月至2014年1月原发性闭角型青光眼患者100例(100眼),按治疗方式的不同分为观察组、对照组,观察组行内窥镜直视下房角分离术联合超声乳化摘出人工晶状体植入术,对照组单纯行超声乳化摘出人工晶状体植入术。两组术后均平均随访6个月,观察比较两组的临床疗效、治疗前后眼压、前房深度、视力、术后并发症等情况。结果观察组、对照组的总有效率分别为86.0%、58.0%,差异有统计学意义(P0.05)。2组术后前房深度加深,眼压降低,视力提高,与术前比较,差异均有统计学意义(均为P0.05),且观察组术后各项指标改善程度均优于对照组,差异均有统计学意义(均为P0.05)。观察组、对照组的术后并发症总发生率分别为6.0%、20.0%,差异有统计学意义(P0.05)。结论原发性闭角型青光眼患者行内窥镜直视下房角分离术联合超声乳化摘出人工晶状体植入术,术后视力明显提高,可有效控制眼压,临床效果确切。
[Abstract]:Objective To study the clinical effect of phacoemulsification and intraocular lens implantation in patients with primary angle-closure glaucoma. Methods 100 eyes (100 eyes) of primary angle-closure glaucoma in our hospital from January 2012 to January 2014 were selected. In the control group, the intraocular lens implantation was performed by phacoemulsification. The mean follow-up of the two groups was followed up for 6 months, and the clinical curative effect of the two groups was observed, the intraocular pressure, the anterior chamber depth, the vision and the postoperative complications were compared. Results The total effective rate of the observation group and the control group was 86.0% and 58.0%, respectively. And the improvement degree of all the indexes after the observation group was superior to that of the control group, and the difference was statistically significant (both P0.05). The total incidence of postoperative complications in the observation group and the control group was 6.0% and 20.0%, respectively (P0.05). Conclusion The patients with primary angle-closure glaucoma combined with the ultrasonic emulsification in the patients with primary angle-closure glaucoma combined with the ultrasonic emulsification to remove the intraocular lens implantation, the visual acuity of the patients was improved significantly, the intraocular pressure can be effectively controlled, and the clinical effect is accurate.
【作者单位】：南方医科大学珠江医院眼科;内蒙古医科大学附属医院眼科;
【基金】：内蒙古自治区自然科学基金资助(编号:2011MS1137)~~
【分类号】：R779.6

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