白内障超声乳化联合人工晶状体植入术治疗闭角型青光眼合并白内障的疗效观察

目的 探讨白内障超声乳化联合人工晶体植入术治疗闭角型青光眼合并白内障的临床疗效.方法 闭角型青光眼合并白内障患者80例80只眼,采用超声乳化白内障吸除及硬质人工晶状体植入术.观察手术前后眼压、前房深度、前房角、视力情况及术中术后并发症,术后随访时间6月～2年.结果 术后80只眼最佳矫正视力均有不同程度提高,平均眼压13...

Clinical observation of phacoemulsification combined with intraocular lens implantation for angle-closure glaucoma and cataract

Objective To observe the efficacy of phacoemulsification combined with intraocular lens implantation in treating angle-closure glaucoma and cataract.Methods 80 cases（80 eyes）of angle-closure glaucoma and cataract patients underwent phacoemulsification combined with intraocular lens implantation.Intraocular pressure（IOP）,anterior chamber angle,anterior chamber depth and visual acuity before and after operation as well as intraoperative and postoperative complications were observed.The follow-up time was 6 to 24 months.Resluts After operarion,the best corrected visual acuity improved in all 80 eyes.The mean IOP was 13.9（9.7～20.8）mmHg.Both angle and depth of anterior chamber increased.The main postoperative complication was corneal edema and anterior chamber reaction.Conclusion Phacoemulsification combined with intraocular lens implantation is a safe and effective way to restore vision and control intraocular pressure in cataract patients combined with acute or chronic angle-closure glaucoma.