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
Clinical efficacy of Phaco+IOL implantation combined with angle separation in the treatment of uncon-trolled intraocular pressure after PACG filtration
崔宏宇 1郭黎霞 1吕爱国 1张志宏 1路平 1张新 1杨艳萍 1季红英 1曹志刚 1王立芳 1胡建华 1范肃洁1
作者信息
- 1. 056001 邯郸市眼科医院(邯郸市第三医院)眼科
- 折叠
摘要
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.
Abstract
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.
关键词
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Key words
Phacoemulsification/Intraocular lens implantation/Separation of atrial angle/Primary angle closure glaucoma/Uncontrolled intraocular pressure after operation引用本文复制引用
基金项目
邯郸市科学技术研究与发展计划项目(1223108087-3)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据