首页|超声乳化吸除术联合房角分离术治疗PACG滤过术后眼压失控的临床疗效观察

超声乳化吸除术联合房角分离术治疗PACG滤过术后眼压失控的临床疗效观察

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  • 国家科技期刊平台
  • NETL
  • NSTL
  • 万方数据
  • 维普
目的 探讨超声乳化吸除术(Phaco)+人工晶状体(IOL)植入联合房角分离术治疗原发性闭角型青光眼(PACG)滤过术后眼压失控的临床疗效.方法 回顾性病例研究.对2020年8月至2022年5月收治的24例(25只眼)PACG滤过术后眼压失控患者,采用Phaco+IOL植入联合房角分离术治疗,比较术前、术后1 d、1周、1个月、3个月、6个月的眼压情况,术前及6个月最佳矫正视力(BCVA)、房角粘连性关闭(PAS)范围变化情况.记录术中、术后并发症情况.结果 术后1 d、1周、1个月、3个月、6个月眼压、PAS范围均显著低于术前,差异具有统计学意义(均P<0.05);术后6个月视力较术前21例(22只眼)BCVA提高,3例(3只眼)BCVA无变化;术中10只眼发生前房出血,术后6只眼发生短暂性前房出血,15只眼发生前房渗出,8只眼发生角膜水肿.结论 Phaco+IOL植入联合房角分离术治疗PACG滤过术后眼压失控能够有效降低眼压,提高患者视力,是安全有效的治疗方法.
Clinical efficacy of Phaco+IOL implantation combined with angle separation in the treatment of uncon-trolled intraocular pressure after PACG filtration
Objective To investigate the clinical effect of phacoemulsification(Phaco)+ intraocular lens(IOL)implantation combined with angle separation in the treatment of uncontrolled intraocular pressure after primary angle clo-sure glaucoma(PACG)filtration.Methods A retrospective case series study.Twenty-four patients(25 eyes)with uncon-trolled intraocular pressure after PACG filtering from August 2020 to May 2022 were selected as the study subjects.The Phaco+IOL implantation combined with angle separation were used to treat.Compared the intraocular pressure before the operation,at 1 day,1 week,1 month,3 months and 6 months after the operation,and the changes of best corrected visual acuity(BCVA)and peripheral anterior synechiae(PAS)before and at 6 months after the operation were observed.The intra-operative and postoperative complications were recorded.Results The intraocular pressure and range of PAS at 1 day,1 week,1 month,3 months and 6 months after the operation were significantly lower than those before the operation(P<0.05).The BCVA of 21 cases(22 eyes)was improved at 6 months after the operation,while the BCVA of 3 cases(3 eyes)re-mained unchanged.Anterior chamber hemorrhage occurred in 10 eyes,transient anterior chamber hemorrhage occurred in 6 eyes,anterior chamber exudation occurred in 15 eyes,and corneal edema occurred in 8 eyes.Conclusions Phaco+IO-Limplantation combined with angle separation is a safe and effective treatment for uncontrolled intraocular pressure after PACG filtration,which can effectively reduce intraocular pressure and improve patients'vision.

PhacoemulsificationIntraocular lens implantationSeparation of atrial anglePrimary angle closure glaucomaUncontrolled intraocular pressure after operation

崔宏宇、郭黎霞、吕爱国、张志宏、路平、张新、杨艳萍、季红英、曹志刚、王立芳、胡建华、范肃洁

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056001 邯郸市眼科医院(邯郸市第三医院)眼科

超声乳化吸除术 人工晶状体植入 房角分离术 原发性闭角型青光眼 术后眼压失控

邯郸市科学技术研究与发展计划项目

1223108087-3

2024

10.3969/j.issn.1006-8422.2024.01.012

临床眼科杂志
安徽医科大学,安徽眼科研究所

临床眼科杂志

CSTPCD
影响因子：0.791
ISSN：1006-8422
年,卷(期)：2024.32(1)
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