首页|小切口白内障摘出手术治疗急性闭角型青光眼的临床效果观察

小切口白内障摘出手术治疗急性闭角型青光眼的临床效果观察

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目的:探讨小切口白内障囊外摘除手术治疗急性闭角型青光眼(PACG)的疗效。方法选取2012年2月至2013年2月在我院接受小切口白内障摘除术的60例急性闭角型青光眼患者为研究对象,对患者术前术后视力的矫正以及眼压变化进行观察,并在术后对患者进行6-12个月随访。结果患者术后眼压(15.2±2.9)mmHg明显优于用药前(41.11mmHg±5.3)mmHg后(18.7±5.8)mmHg,差异显著(P<0.05)有统计学意义。2例患者术后眼压出现增高情况,使用0.25%噻吗洛尔滴眼对患者眼部滴治后,患者眼压得到控制,60例患者术中均无进行性视野损害。术后2例(2眼)发生糖尿病性视网膜病变患者术后视力≤0.1;6例患者(6眼)术后视力为0.2-0.3;38例(38眼)患者术后实力为0.4-0.8;14例患者(14眼)术后视力≥1.0;患者术后视力明显优于术前视力,(P<0.05)有统计学意义。结论小切口白内障摘出手术治疗急性闭角型青光眼拥有显著的治疗效果,手术拥有较高的安全系数。
Objective To study the extracapsular extraction through small incision cataract surgery efficacy for the treatment of acute angle -closure glaucoma ( PACG) .Methods Select in February 2012 to February 2012 in our hospital to accept small incision cataract extraction of 60 cases of acute angle-closure glaucoma pa-tients as the research object,a correction of patients with preoperative visual acuity and intraocular pressure changes were observed ,and for patients after surgery for 6 to 12 months follow -up.Results The patients with postoperative intraocular pressure(15.2 +2.9)mmHg medicine is obviously better than the former(41.11 mmHg +/-5.3)(18.7-5.8)mmHg after mmHg,significant difference(P<0.05)was statistically significant.Postoperative intraocular pressure(iop)increased in 2 patients,u-sing a 0.25% thiamethoxam parlour eye drops of eye drops after cure patients,patients with intraocular pressure under control,60 cases of patients who had no progres-sive vision impairment.Postoperative 2 cases(2 eyes)with diabetic retinopathy patients postoperative visual acuity of 0.1 or less;Six patients(6 eyes)with postoperative visual acuity was 0.2 to 0.2;38 cases(38 eyes)of patients with postoperative strength of 0.4-0.8;14 patients(14 eyes)with postoperative visual acuity 1.0;Patients with postoperative visual acuity was better than preoperative visual acuity,(P<0.05)was statistically significant.Conclusion Small incision cataract extraction and surgi-cal treatment of acute angle-closure glaucoma has significant therapeutic effect,the operation has high safety coefficient.

宋岩立

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河南省鹤壁市淇县桥盟乡卫生院,河南淇县 456750

急性闭角型青光眼 小切口白内障摘出手术 治疗效果 安全系数

2014

中国保健营养(上旬刊)
全国卫生产业企业管理协会

中国保健营养(上旬刊)

ISSN:1004-7484
年,卷(期):2014.(6)
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