超声乳化IOL植入联合房角分离术治疗原发性慢性闭角型青光眼被引量：16

Clinical study of phacoemulsification and goniosynechialysis in the treatment of chronic angle-closure glaucoma

在线阅读下载PDF

导出

摘要目的:探讨超声乳化人工晶状体(IOL)植入联合房角分离术治疗原发性慢性闭角型青光眼的有效性。方法:纳入2018-05/11于西安市第一医院眼科住院的原发性慢性闭角型青光眼合并白内障患者共33例35眼,对术前和术后6mo的最佳矫正视力、眼压、中央前房深度、房角开放距离500、小梁虹膜夹角、房角关闭或粘连的范围进行比较。结果:患者34眼(97%)术后最佳矫正视力较术前提高;27眼(77%)术后不需给予任何降眼压药物,眼压维持在21mmHg以下;术前前房深度、房角开放距离500、小梁虹膜夹角平均值分别为2.04±0.31mm、0.132±0.033μm、15.44°±3.10°,显著小于术后的平均值(3.26±0.29mm、0.407±0.038μm、34.26°±3.60°,均P<0.01);术后房角关闭或粘连范围较术前减少(P<0.05)。结论:超声乳化人工晶状体植入联合房角分离术是治疗原发性慢性闭角型青光眼的有效方式。 AIM:To evaluate the efficacy of phacoemulsification and intraocular lens implantation combined with goniosynechialysis in the treatment of chronic angle-closure glaucoma.METHODS:Thirty-three patients(35 eyes)with primary chronic angle-closure glaucoma and cataract were enrolled in the Department of Ophthalmology,Xi an First Hospital from May 2018 to November 2018.The best corrected visual acuity,intraocular pressure,central anterior chamber depth,angle-opening distance at 500μm from the scleral spur,trabecular iris angle,angle closure or adhesion were compared between preoperative and postoperative 6mo.RESULTS:The best corrected visual acuity of 34 eyes(97%)was improved after operation.27 eyes(77%)did not need any intraocular pressure lowering drugs after operation,and the intraocular pressure was kept below 21mmHg.The average value of anterior chamber depth,angle-opening distance at 500μm from the scleral spur and trabecular iris angle(2.04±0.31mm,0.132±0.033μm,15.44°±3.10°)before operation were significantly lower than the postoperative mean values(3.26±0.29mm,0.407±0.038μm,34.26°±3.60°).The range of angle closure or adhesion decreased after operation,and the difference was statistically significant.CONCLUSION:Phacoemulsification with intraocular lens implantation and goniosynechialysis is an effective way to treat primary chronic angle-closure glaucoma.

作者黎彦宏田华杨建刚 Yan-Hong Li;Hua Tian;Jian-Gang Yang(Department of Ophthalmology,Xi'an No.1 Hospital,Shaanxi Institute of Ophthalmology,Shaanxi Key Laboratory of Ophthalmology,Clinical Research Center for Ophthalmology Diseases of Shaanxi Province,Department of Ophthalmology,First Affiliated Hospital of Northwestern University,Xi'an 710002,Shaanxi Province,China)

机构地区西安市第一医院眼科陕西省眼科研究所陕西省眼科学重点实验室陕西省眼科疾病临床医学研究中心西北大学附属第一医院眼科

出处《国际眼科杂志》 CAS 北大核心 2020年第1期115-118,共4页 International Eye Science

关键词原发性慢性闭角型青光眼房角分离术超声乳化 chronic angle-closure glaucoma goniosynechialysis phacoemulsification

分类号 R73 [医药卫生—肿瘤]

作者简介黎彦宏,女,毕业于西安交通大学医学院,硕士,主治医师,研究方向:青光眼、白内障;通讯作者:杨建刚,男,博士,主任医师,研究方向:青光眼、白内障.dryjg@126.com。