超声乳化人工晶状体植入联合房角分离术治疗闭角型青光眼临床观察
The clinical effect of cataract phacoemulsification and intraocular lens implantation joint with angle separation operation for treating angle-closure glaucoma
刘玉青 1戴冬姝 1冀向宁 1董杰 1王静娴 1邹媛媛 1侯四清1
作者信息
摘要
目的 观察白内障超声乳化人工晶状体植入联合房角分离术治疗原发性闭角型青光眼合并白内障的临床效果.方法 2008-06-2010-06于沧州市中心医院住院手术治疗的原发性闭角型青光跟合并白内障患者33例(39眼),男15例(18眼),女18例(21眼),年龄59～83(75.63±3.05)岁.所有手术均由同一手术医师完成,行透明角膜切口,晶状体超声乳化吸出后房型人工晶状体囊袋内植入联合房角分离术.于术前术后观察视力、最佳矫正视力、眼压、前房角、周边前房深度变化,并分析术后并发症.随访6～12个月.结果 术后随访期间所有术眼眼压较术前显著降低,周边前房深度明显增加,29只眼(74％)房角完全开放,36只眼(92.31％)最佳矫正视力较术前提高.结论 采用白内障超声乳化人工晶状体植入联合房角分离术治疗原发性闭角型青光眼合并白内障,能有效减低眼压,提高视力,开放房角,是安全按有效的方法.
Abstract
Objective To observe the clinical effect of cataract phacoemulsificotion and intraocular lens implantation joint with primary angle separation operation for treating angle-closure glaucoma complicated with cataract. Methods From June 2008 to June 2010 in our hospital there were 33 patients (39 eyes) with surgical treatment for primary angle-closure glaucoma complicated with cataract, in which there were 15 Male cases (18 eyes) and 18 female cases (21 eyes). The age was from 59 to 83 and the average age was (75.63±3.05) years old. All were performed by the same surgery physicians with a transparent corneal incision, and phacoemulsification chamber intraocular lens implantation in bursa bag corner separation operation was performed. In the preoperative and postoperative the depth of visual acuity, best corrected visual acuity, intraocular pressure (IOP), anterior chamber angle, and the peripheral anterior chamber changed, and the postoperative complications were analyzed. Follow-up continued for 6 to 12 months. Results After operation and in the follow-up period all eyes'intraocular pressure were significantly reduced, peripheral anterior chamber depth significantly increased, 29 eyes' (74%) comer were completely open and 36 eyes' (92. 31 % )best corrected visual acuity were improved. Conclusions cataract phacoemulsification and intraocular lens implantation joint with primary angle separation operation for treating angle-closure glaucoma complicated with cataract can effectively decrease intraocular pressure, improve eyesight and open the corner. It is a safe and effective way.
关键词
超声乳化白内障吸除术/晶体植入,眼内/青光眼,闭角型/外科学Key words
Phacoemulsification/Lens Implantation, Intraocular/Glaucoma, Angle-Closure/surgery引用本文复制引用
出版年
2012
NETL
NSTL
维普
万方数据