引用本文:郭秀娟,陈 菂,卢浩泉,卢 彦,罗书科.单纯白内障超声乳化摘除术与联合房角分离术治疗原发性急性闭角型青光眼合并白内障的疗效比较[J].中国临床新医学,2020,13(5):482-486.
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单纯白内障超声乳化摘除术与联合房角分离术治疗原发性急性闭角型青光眼合并白内障的疗效比较
郭秀娟,陈 菂,卢浩泉,卢 彦,罗书科
528000 广东,佛山市第二人民医院眼科
摘要:
[摘要] 目的 比较单纯白内障超声乳化摘除术与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疗效。方法 回顾性分析2017-02~2018-08该院收治的原发性急性闭角型青光眼合并白内障患者的临床资料110例(110眼),按其接受的治疗方法分为单纯白内障超声乳化摘除术组(A组)和白内障超声乳化摘除联合房角分离术组(B组),每组55例,两组术中均植入人工晶体。比较两组术后的最佳矫正视力、眼压、房角开放程度及并发症发生情况。结果 两组患者最佳矫正视力和眼压水平在术后第1周和术后第6个月均较术前显著改善,差异有统计学意义(P<0.05);但两组间比较差异无统计学意义(P>0.05)。两组患者房角开放程度在术后均较术前显著提高,差异有统计学意义(P<0.05);B组术后平均房角开放程度略高于A组,但差异无统计学意义(P>0.05)。两组术后并发症发生率比较差异无统计学意义(P>0.05)。结论 无论是采用单纯白内障超声乳化摘除术或联合房角分离术,均可使原发性急性闭角型青光眼合并白内障患者的眼压在近期和中远期取得良好的控制,临床效果良好。
关键词:  青光眼  白内障  超声乳化摘除术  房角分离术
DOI:10.3969/j.issn.1674-3806.2020.05.13
分类号:R 775.2
基金项目:佛山市卫生健康局医学科研课题资助项目(编号:20180104)
Comparison of the therapeutic effects of simple phacoemulsification and phacoemulsification combined with goniosynechialysis in treatment of primary acute angle-closure glaucoma complicated with cataract
GUO Xiu-juan, CHEN Di, LU Hao-quan, et al.
Department of Ophthalmology, the Second People′s Hospital of Foshan City, Guangdong 528000, China
Abstract:
[Abstract] Objective To compare the therapeutic effects of simple phacoemulsification and phacoemulsification combined with goniosynechialysis in treatment of primary acute angle-closure glaucoma with cataract. Methods The clinical data of 110 patients(110 eyes) with primary acute angle-closure glaucoma complicated with cataract who were admitted to our hospital from February 2017 to August 2018 were analyzed retrospectively. According to different treatment methods, the patients were divided into simple phacoemulsification group(group A) and phacoemulsification combined with goniosynechialysis group(group B), with 55 cases in each group. Intraocular lenses were implanted in both groups. The best corrected visual acuity(BCVA), intraocular pressure, opening degree of the anterior chamber angle and complications were compared between the two groups. Results Compared with those before surgery, the BCVA and intraocular pressure in the two groups were significantly improved 1 week and 6 months after surgery(P<0.05), but there were no significant differences between the two groups(P>0.05). Compared with that before surgery, the opening degree of the anterior chamber angle in the two groups was significantly higher after surgery(P<0.05), and the opening degree of the anterior chamber angle in group B was slightly higher that in group A, with no significant difference between the two groups(P>0.05). There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05). Conclusion Simple phacoemulsification and phacoemulsification combined with goniosynechialysis can make the intraocular pressure in the patients with primary acute angle-closure glaucoma complicated with cataract get good control in the short term and in the medium and long term, with good clinical effects.
Key words:  Glaucoma  Cataract  Phacoemulsification  Goniosynechialysis